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NPI Code Detail

MEDICARE: FLATIRONS SPINE & JOINT HEALTH LLC

MEDICARE: FLATIRONS SPINE & JOINT HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner
2261QM2500XMedical Specialty Clinic/Center

General Provider Information

NPI Number : 1447318225
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLATIRONS SPINE & JOINT HEALTH LLC
Provider Business Mailing Address
First Line : 2995 BASELINE ROAD
Second Line : STE 200
City : BOULDER
State : CO
Zip : 80303-2318
Country : US
Telephone Number : 303-440-8243
Fax Number : 303-440-0292
Provider Business Practice Location Address
First Line : 2995 BASELINE ROAD
Second Line : STE 200
City : BOULDER
State : CO
Zip : 80303-2318
Country : US
Telephone Number : 303-440-8243
Fax Number : 303-440-0292
Authorized Official
Title or Position : OWNER-PHYSICIAN
Name : STANLEY JACK
Credential : D.O.
Telephone Number : 303-440-8243
Provider Enumeration Date : 12/05/2006
Last Update Date : 04/07/2026

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Directions to “FLATIRONS SPINE & JOINT HEALTH LLC ” Practice Location

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