Organization
COLORADO SPINE INSTITUTE PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD JEFFREY DONNER MD (OWNER)
(970) 342-2220
Entity
Organization
Contact information
Practice address
4795 LARIMER PKWY, JOHNSTOWN, CO 80534-9021
(970) 342-2220
(970) 342-2221
Mailing address
4795 LARIMER PKWY, JOHNSTOWN, CO 80534-9021
(970) 342-2220
(970) 342-2221
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
30264
CO
Other
Enumeration date
05/20/2014
Last updated
06/29/2023
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