Provider Demographics
NPI:1467022996
Name:VAIL-SUMMIT ORTHOPAEDICS PC
Entity Type:Organization
Organization Name:VAIL-SUMMIT ORTHOPAEDICS PC
Other - Org Name:VAIL SUMMIT ORTHOPAEDICS AND NEUROSURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:CARI
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-241-0202
Mailing Address - Street 1:2472 PATTERSON RD UNIT 8
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-1100
Mailing Address - Country:US
Mailing Address - Phone:970-477-8220
Mailing Address - Fax:
Practice Address - Street 1:112 W SPENCER AVE STE A
Practice Address - Street 2:
Practice Address - City:GUNNISON
Practice Address - State:CO
Practice Address - Zip Code:81230-2546
Practice Address - Country:US
Practice Address - Phone:970-641-6778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VAIL-SUMMIT ORTHOPAEDICS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-28
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier