Organization
PANORAMA ORTHOPEDICS AND SPINE CENTER PC
Active
Parent organization
PANORAMA ORTHOPEDICS AND SPINE CENTER PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PANORAMA ORTHOPEDICS AND SPINE CENTER PC
Authorized official
MARK J CONKLIN (PRESIDENT)
(303) 274-7321
Entity
Organization
Contact information
Practice address
14000 E ARAPAHOE RD STE 300, CENTENNIAL, CO 80112-4045
(303) 233-1223
Mailing address
660 GOLDEN RIDGE RD STE 250, GOLDEN, CO 80401-9541
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000190918
—
CO
01
—
MEDICARE
CR5408
CO
Enumeration date
11/11/2020
Last updated
04/20/2023
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