Individual
DR. CATHLEEN SUSAN VANBUSKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4745 ARAPAHOE AVE, SUITE 300, BOULDER, CO 80303-1080
(303) 546-6600
(303) 546-6500
Mailing address
4745 ARAPAHOE AVE, SUITE 300, BOULDER, CO 80303-1080
(303) 546-6600
(303) 546-6500
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
36624
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
841499597
TAX ID#
CO
01
—
C496918
MEDICARE PTAN NUMBER
CO
Enumeration date
02/10/2006
Last updated
03/19/2015
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