HIGH ALTITUDE SPINE AND SPORT
Ambulatory Health at Baseline Rd, Boulder, CO

License number
Colorado 6322
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. RICHARD THOMAS HANSEN III D.C.
Title: PRESIDENT
Phone: (303) 829-1040
Address
Address
2995 Baseline Rd #101, Boulder, CO 80303
National Provider ID: 1023339637
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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High Altitude Spine and Sport

Boulder, CO

Status:
Inactive
Industry:
Ret Sporting Goods/Bicycles, Health/Allied Services
Doing business as:
High Altitude Spine and Sport, PC
Addresses:
2995 Baseline Rd, Boulder, CO 80303
3300 Arapahoe Ave, Boulder, CO 80303
PO Box 7195, Boulder, CO 80306
President, Principal, Member:
Richard Thomas Hansen President, Principal, Member, inactive

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