Organization
ORTHOPAEDIC ASSOCIATES OF ASPEN AND GLENWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY P. BURNS (EXECUTIVE DIRECTOR)
(970) 300-9678
Entity
Organization
Contact information
Practice address
1450 E VALLEY RD, SUITE 201, BASALT, CO 81621-8304
(970) 927-8611
(970) 927-8633
Mailing address
1450 E VALLEY RD, SUITE 201, BASALT, CO 81621-8304
(970) 927-8611
(970) 927-8633
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04007282
—
CO
01
—
CT1049
MEDICARE RAILROAD RETIREM
—
Enumeration date
04/12/2006
Last updated
03/16/2020
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