Organization
LITTLETON ORTHOPAEDIC ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN L JOLLY MD (PRESIDENT)
(303) 798-8107
Entity
Organization
Contact information
Practice address
7720 S BROADWAY, #210, LITTLETON, CO 80122-2624
(303) 798-8107
(303) 798-1756
Mailing address
7720 S BROADWAY, #210, LITTLETON, CO 80122-2632
(303) 798-8107
(303) 798-1756
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029690001
PALMETTO
CO
05
—
04005161
—
CO
01
—
CD6323
RAILROAD MEDICARE
CO
01
—
LIB5208
BLUE SHIELD
CO
Enumeration date
11/14/2006
Last updated
04/17/2009
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