Healthcare Provider Details

I. General information

NPI: 1790371649
Provider Name (Legal Business Name): WESTERN ORTHOPAEDICS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2020
Last Update Date: 12/15/2020
Certification Date: 12/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9950 W 80TH AVE STE 24
ARVADA CO
80005-3914
US

IV. Provider business mailing address

1830 N FRANKLIN ST STE 450
DENVER CO
80218-1128
US

V. Phone/Fax

Practice location:
  • Phone: 303-321-1333
  • Fax: 303-321-0620
Mailing address:
  • Phone: 303-321-1333
  • Fax: 303-321-0620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: VALERIE SULESKI
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 303-321-1333