Organization
SPORTS & ORTHOPAEDIC ASSOCIATES OF THE REDLANDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRITT MATTHEW SMITH MSP OCS FAAOPT (OWNER)
(970) 263-4079
Entity
Organization
Contact information
Practice address
2497 POWER RD, UNIT 10, GRAND JUNCTION, CO 81507-3085
(970) 263-4079
Mailing address
2497 POWER RD, UNIT 10, GRAND JUNCTION, CO 81507-3085
(970) 263-4079
(970) 241-2595
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF8038
RAILROAD MEDICARE PIN
CO
Enumeration date
12/05/2005
Last updated
07/23/2013
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