Healthcare Provider Details

I. General information

NPI: 1801091046
Provider Name (Legal Business Name): VAIL-SUMMIT ORTHOPAEDICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2007
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 S FRONTAGE RD W STE 2700
VAIL CO
81657-5038
US

IV. Provider business mailing address

2472 PATTERSON RD UNIT 8
GRAND JUNCTION CO
81505-1100
US

V. Phone/Fax

Practice location:
  • Phone: 970-476-7220
  • Fax:
Mailing address:
  • Phone: 970-241-0202
  • Fax: 970-245-0250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number1416
License Number StateCO

VIII. Authorized Official

Name: COLLEEN A KINLUND
Title or Position: COO
Credential:
Phone: 970-477-4456