Healthcare Provider Details

I. General information

NPI: 1881196699
Provider Name (Legal Business Name): VAIL-SUMMIT ORTHOPAEDICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2018
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 PEAK ONE DRIVE SUITE 190
FRISCO CO
80443-9998
US

IV. Provider business mailing address

PO BOX 1303
FRISCO CO
80443-1303
US

V. Phone/Fax

Practice location:
  • Phone: 970-668-0888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: COLLEEN A KINLUND
Title or Position: COO
Credential:
Phone: 970-477-4456