Healthcare Provider Details

I. General information

NPI: 1841212719
Provider Name (Legal Business Name): FRONT RANGE ORTHOPAEDICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 06/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4105 BRIARGATE PARKWAY SUITE 300
COLORADO SPRINGS CO
80920-3487
US

IV. Provider business mailing address

4105 BRIARGATE PARKWAY SUITE 300
COLORADO SPRINGS CO
80920-3487
US

V. Phone/Fax

Practice location:
  • Phone: 719-473-3332
  • Fax: 719-368-6870
Mailing address:
  • Phone: 719-473-3332
  • Fax: 719-368-6870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number StateCO

VIII. Authorized Official

Name: DAN KARPEL
Title or Position: CEO
Credential:
Phone: 719-473-3332