Organization · NPI-2

Arvada Sport And Spine Group LLC

Family Medicine · Arvada, CO

NPI number1003342213
StatusActive
Last updated in NPPESMay 8, 2017

Details

NPI
1003342213
Entity type
Organization (NPI-2)
Legal business name
Arvada Sport And Spine Group LLC
Organization subpart
No
Enumeration date
May 8, 2017
Last updated
May 8, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine–COYes

Practice location

12189 W 64th Ave Ste 102
Arvada, CO 80004-4031

Phone 303-424-9549

Mailing address

12189 W 64th Ave Ste 102
Arvada, CO 80004-4031

Phone 303-424-9549

Authorized official

Andrew Welling
President
3034249549

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