Organization
SPINE WEST A PROFESSIONAL LLC
Active
Other names
Advanced Spine & Sports Specialists, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RODRIGUEZ (PRACTICE MANAGER)
(303) 494-7773
Entity
Organization
Contact information
Practice address
5387 MANHATTAN CIRCLE, SUITE 200, BOULDER, CO 80303-4283
(303) 494-7773
Mailing address
5387 MANHATTAN CIRCLE, SUITE 200, BOULDER, CO 80303-4283
(303) 494-7773
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/13/2006
Last updated
09/01/2020
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