| High Altitude Spine And Sport | |
|
2995 Baseline Rd #101 Boulder CO 80303-2318 | |
| (303) 829-1040 | |
| (303) 440-0905 |
| Full Name | High Altitude Spine And Sport |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2995 Baseline Rd, Boulder, Colorado |
| Authorized Official Name and Position | Richard Thomas Hansen (PRESIDENT) |
| Authorized Official Contact | 3038291040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| High Altitude Spine And Sport Po Box 7195 Boulder CO 80306-7195 Ph: (303) 829-1040 | High Altitude Spine And Sport 2995 Baseline Rd #101 Boulder CO 80303-2318 Ph: (303) 829-1040 |
| NPI Number | 1023339637 |
|---|---|
| Provider Enumeration Date | 06/17/2010 |
| Last Update Date | 03/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023339637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 6322 (Colorado) | Primary |
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