| Howard Head Sports Medicine at Dillon | |
|
365 Dillon Ridge Rd Ste 100 Dillon CO 80435-6343 | |
| (970) 479-7272 | |
| Not Available |
| Full Name | Howard Head Sports Medicine at Dillon |
|---|---|
| Speciality | Clinic/center |
| Location | 365 Dillon Ridge Rd, Dillon, Colorado |
| Authorized Official Name and Position | Michael G Brown (SVP & CFO) |
| Authorized Official Contact | 9704797272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Howard Head Sports Medicine at Dillon Po Box 840220 Kansas City MO 64184-0220 Ph: (970) 777-2850 | Howard Head Sports Medicine at Dillon 365 Dillon Ridge Rd Ste 100 Dillon CO 80435-6343 Ph: (970) 479-7272 |
| NPI Number | 1043884208 |
|---|---|
| Provider Enumeration Date | 05/13/2021 |
| Last Update Date | 01/08/2025 |
| Certification Date | 01/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043884208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (NU) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (NU) | Secondary |
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