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Hand Surgery >> Orthopaedic Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1063514495

Individual Registrant:
Gender: M
Not Sole Proprietor

Location and contact information for practice:
Tel: 970-247-5362  Fax: 970-259-6045

Contact information for business:
Tel: 970-247-5362  Fax: 970-259-6045

Registration Information:
NPI: 1063514495
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207XS0106XAllopathic & Osteopathic Physicians
Orthopaedic Surgery
Hand Surgery

Legacy codes, insurance codes and state license numbers:



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