High Altitude Spine and Sport

NPI #1023339637 in Boulder, Colorado

Provider Information

NPI Number
1023339637
Entity Type
Organization
Organization Name
High Altitude Spine and Sport
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jun 17, 2010
Last Updated
Mar 1, 2011

Practice Location

Address
2995 BASELINE RD
Address 2
#101
ZIP Code
80303-2318
Phone
(303) 829-1040

Authorized Official

Name
DR. RICHARD THOMAS HANSEN III, D.C.
Title
PRESIDENT
Phone
(303) 829-1040

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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