Organization
ALPINE SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J FOX MD (OWNER)
(303) 449-3642
Entity
Organization
Contact information
Practice address
4743 ARAPAHOE AVE, SUITE 102, BOULDER, CO 80303-1123
(303) 449-3642
Mailing address
4743 ARAPAHOE AVE, SUITE 102, BOULDER, CO 80303-1123
(303) 449-3642
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
40751
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29954061
—
CO
05
—
59501383
—
CO
01
—
ALA60580
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/04/2007
Last updated
02/19/2020
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