| NPI | 1770579385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BERGERSON Chief Executive Officer 970-419-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2019-12-30 |