Provider Demographics
NPI:1972862373
Name:STORM MOUNTAIN ORTHOPAEDICS, PC
Entity Type:Organization
Organization Name:STORM MOUNTAIN ORTHOPAEDICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:SARIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:970-879-2663
Mailing Address - Street 1:501 ANGLERS DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-8840
Mailing Address - Country:US
Mailing Address - Phone:970-879-8663
Mailing Address - Fax:970-879-6996
Practice Address - Street 1:501 ANGLERS DR
Practice Address - Street 2:SUITE 101
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-8840
Practice Address - Country:US
Practice Address - Phone:970-879-8663
Practice Address - Fax:970-879-6996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-07
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty