Provider Demographics
NPI:1881183549
Name:DENVER SPORTS MEDICINE AND SPINE LLC
Entity Type:Organization
Organization Name:DENVER SPORTS MEDICINE AND SPINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:YANI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZINIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-322-3863
Mailing Address - Street 1:4700 HALE PKWY STE 500
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-4052
Mailing Address - Country:US
Mailing Address - Phone:303-322-3863
Mailing Address - Fax:303-322-3528
Practice Address - Street 1:4700 HALE PKWY STE 500
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4052
Practice Address - Country:US
Practice Address - Phone:303-322-3863
Practice Address - Fax:303-322-3528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty