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Organization

ORTHOPEDIC SURGERY & SPORTS MEDICINE SPECIALIST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERRY JOEL WINTORY DO (OWNER)
(303) 450-6800
Entity
Organization

Contact information

Practice address
9141 GRANT ST STE 10, THORNTON, CO 80229-4374
(303) 450-6800
(303) 450-7153
Mailing address
9141 GRANT ST # 10, THORNTON, CO 80229-4374
(303) 450-6800
(303) 450-7153

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04111324
CO
01
CV0100
MEDICARE RAILROAD
CO
01
ORB9208
BLUE CROSS BLUE SHEILD
CO
Enumeration date
05/11/2007
Last updated
04/15/2008
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