Healthcare Provider Details
I. General information
NPI: 1912183625
Provider Name (Legal Business Name): ROBERT BESS MD, FACS ORTHOPAEDIC SURGERY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/11/2008
Last Update Date: 03/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8500 PARK MEADOWS DR SUITE 210
LONE TREE CO
80124-2742
US
IV. Provider business mailing address
DEPT 2078
DENVER CO
80291-2078
US
V. Phone/Fax
- Phone: 303-788-5230
- Fax:
- Phone: 303-788-5230
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XS0117X |
| Taxonomy | Orthopaedic Surgery of the Spine Physician |
| License Number | 23167 |
| License Number State | CO |
VIII. Authorized Official
Name:
ROBERT
J
BESS
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 303-788-5230