Healthcare Provider Details
I. General information
NPI: 1124119714
Provider Name (Legal Business Name): ALPINE SURGICAL ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/27/2006
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
940 CENTRAL PARK DR STE 200
STEAMBOAT SPRINGS CO
80487
US
IV. Provider business mailing address
PO BOX 771131
STEAMBOAT SPRINGS CO
80477-1131
US
V. Phone/Fax
- Phone: 972-879-9299
- Fax: 866-228-0896
- Phone: 970-879-9299
- Fax: 866-228-0896
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 35333 |
| License Number State | CO |
VIII. Authorized Official
Name: DR.
ZACH
HARTMAN
Title or Position: OWNER
Credential: MD
Phone: 720-425-8212