Healthcare Provider Details

I. General information

NPI: 1538639778
Provider Name (Legal Business Name): COLORADO ORTHOPEDIC CONSULTANTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2018
Last Update Date: 11/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 W HAMPDEN PL STE 220
ENGLEWOOD CO
80110-2471
US

IV. Provider business mailing address

1411 S POTOMAC ST STE 400
AURORA CO
80012-4540
US

V. Phone/Fax

Practice location:
  • Phone: 303-695-6060
  • Fax: 303-369-7776
Mailing address:
  • Phone: 303-695-6060
  • Fax: 303-369-7776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: TROY P STOCKMAN
Title or Position: CEO
Credential:
Phone: 303-695-6060