Organization
STEADMAN CLINIC PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG PASCHKE (CEO)
(970) 476-1100
Entity
Organization
Contact information
Practice address
322 BEARD CREEK RD, EDWARDS, CO 81632-6426
(970) 476-1100
(970) 569-3351
Mailing address
181 W MEADOW DR, STE 400, VAIL, CO 81657-5242
(970) 476-1100
(970) 479-5835
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CO
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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