Healthcare Provider Details

I. General information

NPI: 1447461801
Provider Name (Legal Business Name): CENTER FOR SPINE ARTHROPLASTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9005 GRANT ST STE 200
THORNTON CO
80229-4300
US

IV. Provider business mailing address

9005 GRANT ST STE 200
THORNTON CO
80229-4300
US

V. Phone/Fax

Practice location:
  • Phone: 303-302-6000
  • Fax: 303-287-7357
Mailing address:
  • Phone: 303-302-6000
  • Fax: 303-287-7357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL F. DIETEL
Title or Position: OFFICE ADMINISTRATOR
Credential:
Phone: 303-287-2800