Organization
ORTHOPAEDIC & SPINE CENTER OF THE ROCKIES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BERGERSON (CEO)
(970) 419-7005
Entity
Organization
Contact information
Practice address
2500 E PROSPECT RD, AMBULATORY SURGERY CENTER & CONVALESCENT CARE CENTER, FORT COLLINS, CO 80525-9718
(970) 493-0112
Mailing address
2500 E PROSPECT RD, AMBULATORY SURGERY CENTER & CONVALESCENT CARE CENTER, FORT COLLINS, CO 80525-9718
(970) 493-0112
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
160343
CO
261QE0800X
Endoscopy Clinic/Center
160343
CO
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
160343
CO
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04510152
—
CO
05
—
107463600
—
WY
Enumeration date
09/22/2005
Last updated
12/16/2019
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