Organization
ALPINE SPINE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHLEEN S VAN BUSKIRK MD (OWNER)
(303) 546-6600
Entity
Organization
Contact information
Practice address
4745 ARAPAHOE AVE, SUITE 300, BOULDER, CO 80303-1080
(303) 546-6600
(303) 546-6500
Mailing address
4745 ARAPAHOE AVE, SUITE 300, BOULDER, CO 80303-1080
(303) 546-6600
(303) 546-6500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36624
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C49618
MEDICARE PTAN
—
01
—
C496918
PTAN
—
Enumeration date
10/03/2006
Last updated
09/30/2014
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