Provider Demographics
NPI:1174678049
Name:ALPINE SURGERY
Entity Type:Organization
Organization Name:ALPINE SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:MANART
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-476-5600
Mailing Address - Street 1:PO BOX 325
Mailing Address - Street 2:
Mailing Address - City:VAIL
Mailing Address - State:CO
Mailing Address - Zip Code:81658-0325
Mailing Address - Country:US
Mailing Address - Phone:970-476-5600
Mailing Address - Fax:970-476-5032
Practice Address - Street 1:12 VAIL RD
Practice Address - Street 2:SUITE 300
Practice Address - City:VAIL
Practice Address - State:CO
Practice Address - Zip Code:81657-5244
Practice Address - Country:US
Practice Address - Phone:970-476-5600
Practice Address - Fax:970-476-5032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty