Provider Demographics
NPI:1699070193
Name:ROCKY MOUNTAIN ORTHOPEDIC SPECIALISTS
Entity type:Organization
Organization Name:ROCKY MOUNTAIN ORTHOPEDIC SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:W. CARLTON
Authorized Official - Middle Name:
Authorized Official - Last Name:RECKLING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:307-632-6637
Mailing Address - Street 1:800 E 20TH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-3882
Mailing Address - Country:US
Mailing Address - Phone:307-632-6637
Mailing Address - Fax:307-632-3382
Practice Address - Street 1:5285 MCWHINNEY BLVD STE 140
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-8707
Practice Address - Country:US
Practice Address - Phone:888-876-2663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-14
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO41285207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty