Provider Demographics
NPI:1962428524
Name:COLORADO HAND AND ARM P.C.
Entity type:Organization
Organization Name:COLORADO HAND AND ARM P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:S
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-421-1440
Mailing Address - Street 1:8550 W 38TH AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4300
Mailing Address - Country:US
Mailing Address - Phone:303-421-1440
Mailing Address - Fax:303-421-2524
Practice Address - Street 1:8550 W 38TH AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4300
Practice Address - Country:US
Practice Address - Phone:303-421-1440
Practice Address - Fax:303-421-2524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COG5608Medicare PIN
CO0295510001Medicare NSC