Organization
ORTHOPEDIC PAIN CENTER
Active
Organization
ORTHOPEDIC PAIN CENTER
Active
Other names
ORRIE G CLEMENS MD
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER WESTLUND (PRACTICE MGR)
(970) 669-8881
Entity
Organization
Contact information
Practice address
2001 S SHIELDS ST, BLDG L, FORT COLLINS, CO 80526-1827
(970) 669-8881
(970) 669-4200
Mailing address
2001 S SHIELDS ST, BLDG L, FORT COLLINS, CO 80526-1827
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
17195
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01171958
—
CO
01
—
0619936
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/19/2006
Last updated
08/22/2020
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