Healthcare Provider Details

I. General information

NPI: 1235060617
Provider Name (Legal Business Name): MOUNTAIN ORTHOPEDICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 S WADSWORTH BLVD
LITTLETON CO
80123-1316
US

IV. Provider business mailing address

4700 S WADSWORTH BLVD
LITTLETON CO
80123-1316
US

V. Phone/Fax

Practice location:
  • Phone: 303-932-6914
  • Fax: 303-464-1098
Mailing address:
  • Phone: 303-478-3957
  • Fax: 303-464-1098

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: CONNIE WEBER
Title or Position: BUSINESS MANAGER
Credential:
Phone: 303-932-6914