Organization
4D SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK RAHE (OWNER)
(303) 792-3320
Entity
Organization
Contact information
Practice address
6825 S GALENA ST, SUITE 200, CENTENNIAL, CO 80112-3715
(303) 792-3320
Mailing address
6825 S GALENA ST, SUITE 200, CENTENNIAL, CO 80112-3715
(303) 792-3320
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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