Healthcare Provider Details

I. General information

NPI: 1598057283
Provider Name (Legal Business Name): PRECISION SPINE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2011
Last Update Date: 10/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6825 S GALENA ST SUITE 314
CENTENNIAL CO
80112-3715
US

IV. Provider business mailing address

6825 S GALENA ST SUITE 314
CENTENNIAL CO
80112-3715
US

V. Phone/Fax

Practice location:
  • Phone: 303-790-2225
  • Fax: 303-790-2445
Mailing address:
  • Phone: 303-790-2225
  • Fax: 303-790-2445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM WON-SIK CHOI
Title or Position: OWNER/PROVIDER
Credential: MD
Phone: 303-790-2225