| Colorado Sports & Spine Center | |
|
1625 Medical Center Pt Suite #100 Colorado Springs CO 80907-8731 | |
| (719) 475-1405 | |
| (719) 475-1409 |
| Full Name | Colorado Sports & Spine Center |
|---|---|
| Speciality | Occupational Therapist |
| Location | 1625 Medical Center Pt, Colorado Springs, Colorado |
| Authorized Official Name and Position | James Richard O'connell (PRESIDENT & CEO) |
| Authorized Official Contact | 7197765007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Sports & Spine Center Po Box 970 Colorado Springs CO 80901-0970 Ph: (719) 776-8140 | Colorado Sports & Spine Center 1625 Medical Center Pt Suite #100 Colorado Springs CO 80907-8731 Ph: (719) 475-1405 |
| NPI Number | 1659318533 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659318533 | NPI | - | NPPES |
| 07625007 | Medicaid | CO | |
| CO17570 | Other | CO | BC/BS |
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