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Organization

LONGMONT SPINE AND PHYSICAL MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN JAMES JOSEPH (MANAGER)
(303) 678-7170
Entity
Organization

Contact information

Practice address
451 21ST AVE, SUITE A, LONGMONT, CO 80501-1421
(303) 678-7170
(303) 678-7134
Mailing address
451 21ST AVE, SUITE A, LONGMONT, CO 80501-1421
(303) 678-7170
(303) 678-7134

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
27625
CO

Other

Enumeration date
02/12/2013
Last updated
01/13/2017
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