NPI 1427091206
Spine West a Professional LLC
Practice location
- Address
- 5387 Manhattan Circle Suite 200, Boulder, CO 80303-4283
- Phone
- (303) 494-7773
Authorised official
- Name
- David Rodriguez
- Title
- Practice Manager
- Phone
- (303) 494-7773
Registered specialties
Physical Medicine & Rehabilitation Physician
Primary
Registry record
- NPI
- 1427091206
- Entity type
- Organization
- NPI issued
- 13 Jun 2006
- Record last updated
- 1 Sep 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.