Organization
ROCKY MOUNTAIN ORTHOPEDICS INC
Active
Other names
Rocky Mountain Spine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VERONICA LYNCH (ADMINISTRATOR)
(505) 984-8881
Entity
Organization
Contact information
Practice address
518 W PUEBLO DR, ESPANOLA, NM 87532-2509
(505) 747-3333
(505) 747-7113
Mailing address
435 SAINT MICHAELS DR, SANTA FE, NM 87505-7672
(505) 984-8881
(505) 984-1551
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
42755
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM00NA54
BLUE CROSS
—
05
—
Q7703
—
NM
Enumeration date
05/25/2006
Last updated
12/06/2007
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