Provider Demographics
NPI:1255544870
Name:MILE HI ORTHOPAEDICS AND REHAB, INC.
Entity type:Organization
Organization Name:MILE HI ORTHOPAEDICS AND REHAB, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:PHILLIP
Authorized Official - Last Name:NADLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-734-9820
Mailing Address - Street 1:7720 S BROADWAY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2632
Mailing Address - Country:US
Mailing Address - Phone:303-734-9820
Mailing Address - Fax:303-734-9839
Practice Address - Street 1:7720 S BROADWAY
Practice Address - Street 2:SUITE 210
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2632
Practice Address - Country:US
Practice Address - Phone:303-734-9820
Practice Address - Fax:303-734-9839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC455968Medicare PIN