Healthcare Provider Details

I. General information

NPI: 1275784977
Provider Name (Legal Business Name): EMERGENCY ORTHOPEDIC SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2008
Last Update Date: 10/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9777 S YOSEMITE ST 220
LONE TREE CO
80124-3191
US

IV. Provider business mailing address

9507 E 147TH PL
BRIGHTON CO
80602-5714
US

V. Phone/Fax

Practice location:
  • Phone: 303-699-7325
  • Fax: 303-699-5486
Mailing address:
  • Phone: 303-699-7325
  • Fax: 303-699-5486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID CRAIG LOUCKS
Title or Position: PHYSICIAN
Credential: MD
Phone: 303-699-7325