Healthcare Provider Details

I. General information

NPI: 1821244765
Provider Name (Legal Business Name): ROCKY MOUNTAIN ORTHOPAEDIC ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2008
Last Update Date: 08/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

627 25 1/2 RD
GRAND JUNCTION CO
81505-6401
US

IV. Provider business mailing address

627 25 1/2 RD
GRAND JUNCTION CO
81505-6401
US

V. Phone/Fax

Practice location:
  • Phone: 970-242-3535
  • Fax: 970-242-0293
Mailing address:
  • Phone: 970-242-3535
  • Fax: 970-242-0293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number
License Number State

VIII. Authorized Official

Name: MR. DALE A REIGLE
Title or Position: CEO
Credential:
Phone: 970-242-3535