Organization
MAPLETON HILL ORTHOPAEDICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ROTER MD (MEDICAL DIRECTOR)
(303) 440-7941
Entity
Organization
Contact information
Practice address
975 NORTH ST, SUITE 201, BOULDER, CO 80304-3356
(970) 663-2742
(970) 667-0847
Mailing address
PO BOX 7208, LOVELAND, CO 80537-0208
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04007126
—
CO
01
—
CB3989
RAILROAD MEDICARE
CO
Enumeration date
06/17/2006
Last updated
03/15/2012
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