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Organization

PANORAMA ORTHOPEDICS & SPINE CENTER, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC WORTHAN (CEO)
(303) 233-1223
Entity
Organization

Contact information

Practice address
660 GOLDEN RIDGE ROAD, STE. 250, PANORAMA ORTHOPEDICS & SPINE CENTER, PC, GOLDEN, CO 80401-9541
(303) 233-1223
(303) 233-8755
Mailing address
660 GOLDEN RIDGE ROAD, STE. 250, PANORAMA ORTHOPEDICS & SPINE CENTER, PC, GOLDEN, CO 80401-9541
(303) 233-1223
(303) 233-8755

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
207XS0106X
Orthopaedic Hand Surgery Physician
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
208VP0000X
Pain Medicine Physician
363A00000X
Physician Assistant
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0343190001
DME PTAN
CO
05
04008439
CO
Enumeration date
11/11/2008
Last updated
09/13/2011
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