Organization
CENTER FOR SPINE AND ORTHOPEDICS PC
Active
Parent organization
CENTER FOR SPINE AND ORTHOPEDICS PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER FOR SPINE AND ORTHOPEDICS PC
Authorized official
DEBBIE LUCERO (CREDENTIALING COORDINATOR)
(303) 287-2800
Entity
Organization
Contact information
Practice address
9005 GRANT ST STE 200, THORNTON, CO 80229-4384
(303) 287-2800
(303) 287-7357
Mailing address
9005 GRANT ST STE 200, THORNTON, CO 80229-4384
(303) 287-2800
(303) 287-7357
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04016309
—
CO
Enumeration date
07/14/2021
Last updated
07/14/2021
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