Organization
ROCKY MOUNTAIN SPORTS MEDICINE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN VIDLOCK GRANLEY M.D. (OWNER/PHYSICIAN)
(720) 592-0112
Entity
Organization
Contact information
Practice address
12760 STROH RANCH WAY STE 202, PARKER, CO 80134-7507
(720) 851-5420
(720) 851-5801
Mailing address
12760 STROH RANCH WAY STE 202, PARKER, CO 80134-7507
(720) 592-0112
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
10/16/2019
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