Provider Demographics
NPI:1811224793
Name:ROCKY MOUNTAIN SPINE & SPORTS MEDICINE ASSOCIATES, LLC
Entity Type:Organization
Organization Name:ROCKY MOUNTAIN SPINE & SPORTS MEDICINE ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROCK
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVARKAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-382-9496
Mailing Address - Street 1:650 S CHERRY ST STE 1015
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1812
Mailing Address - Country:US
Mailing Address - Phone:303-377-7777
Mailing Address - Fax:303-377-7775
Practice Address - Street 1:650 S CHERRY ST STE 1015
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1812
Practice Address - Country:US
Practice Address - Phone:303-377-7777
Practice Address - Fax:303-377-7775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-12
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty