Aspen Club International LLC

NPI #1174726111 in Aspen, Colorado

Provider Information

NPI Number: 1174726111
Entity Type: Organization
Organization Name: Aspen Club International LLC
Primary Specialty: Specialist
Enumeration Date: Jun 7, 2007
Last Updated: Oct 4, 2013

Practice Location

Address: 1450 CRYSTAL LAKE RD
Address 2: SPORTS MEDICINE
City: Aspen
State: Colorado
ZIP Code: 81611-2255
Phone: (970) 925-8940

Authorized Official

Name: MR. MICHAEL D FOX
Title: CEO
Phone: (970) 925-8900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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