Organization
LUCKY BREAK ORTHOPEDICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HENRY ELFENBEIN M.D. (PRESIDENT)
(970) 672-1980
Entity
Organization
Contact information
Practice address
510 ELK AVE STE 2, CRESTED BUTTE, CO 81224-5433
(970) 672-1980
(970) 817-2112
Mailing address
PO BOX 1627, CRESTED BUTTE, CO 81224-1627
(970) 672-1980
(970) 817-2112
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
07/01/2024
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