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Organization

LUCKY BREAK ORTHOPEDICS PC

Active
Other names
Pinnacle Orthopedics and Sports Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID HENRY ELFENBEIN MD (PRESIDENT)
(970) 672-1980
Entity
Organization

Contact information

Practice address
103 W TOMICHI AVE STE B, GUNNISON, CO 81230-2323
(970) 672-1980
(970) 817-2112
Mailing address
PO BOX 1627, CRESTED BUTTE, CO 81224-1627

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
261QM2500X
Medical Specialty Clinic/Center
56343
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7693530001
MEDICARE NSC
05
DR.0056343
CO
Enumeration date
01/31/2018
Last updated
09/11/2025
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