Healthcare Provider Details

I. General information

NPI: 1811224793
Provider Name (Legal Business Name): ROCKY MOUNTAIN SPINE & SPORTS MEDICINE ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2009
Last Update Date: 03/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 S CHERRY ST STE 1015
DENVER CO
80246-1812
US

IV. Provider business mailing address

650 S CHERRY ST STE 1015
DENVER CO
80246-1812
US

V. Phone/Fax

Practice location:
  • Phone: 303-377-7777
  • Fax: 303-377-7775
Mailing address:
  • Phone: 303-377-7777
  • Fax: 303-377-7775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROCK NAVARKAL
Title or Position: CEO
Credential: M.D.
Phone: 720-382-9496