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NPI Code Detail

MEDICARE: PANORAMA ORTHOPEDICS & SPINE CENTER, PC

MEDICARE: PANORAMA ORTHOPEDICS & SPINE CENTER, PC
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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1629686894
Entity Type Code : Organization
Provider Name (Legal Business Name) : PANORAMA ORTHOPEDICS & SPINE CENTER, PC
Provider Business Mailing Address
First Line : 660 GOLDEN RIDGE RD STE 250
Second Line :
City : GOLDEN
State : CO
Zip : 80401-9541
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4550 MAIN ST UNIT 200
Second Line :
City : WESTMINSTER
State : CO
Zip : 80031-5175
Country : US
Telephone Number : 303-233-1223
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MARK J CONKLIN
Credential :
Telephone Number : 303-274-7321
Provider Enumeration Date : 07/14/2020
Last Update Date : 02/12/2021

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Directions to “PANORAMA ORTHOPEDICS & SPINE CENTER, PC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.