Healthcare Provider Details

I. General information

NPI: 1245215862
Provider Name (Legal Business Name): CENTER FOR SPINE AND ORTHOPEDICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 09/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9005 GRANT ST #200
THORNTON CO
80229
US

IV. Provider business mailing address

9005 GRANT ST #200
THORNTON CO
80229
US

V. Phone/Fax

Practice location:
  • Phone: 303-287-2800
  • Fax: 303-287-7357
Mailing address:
  • Phone: 303-287-2800
  • Fax: 303-287-7357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. ALLAN OLIPANE
Title or Position: CEO
Credential:
Phone: 303-287-2800