Basic Information
| Provider Information | |||||||||
| NPI: | 1023093044 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | COLORADO HAND CENTER P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3470 CENTENNIAL BLVD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809074090 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7192604767 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3470 CENTENNIAL BLVD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809074090 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7192604767 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/13/2005 | ||||||||
| LastUpdateDate: | 12/16/2010 | ||||||||
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| AuthorizedOfficialLastName: | TOPPER | ||||||||
| AuthorizedOfficialFirstName: | STEVEN | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7192604767 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XS0106X | 34429 | CO | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Hand Surgery |
ID Information
| ID | Type | State | Issuer | Description | 378200300 | 01 | DOL | OTHER | 47105526 | 05 | CO | MEDICAID | DH0420 | 01 | RAILROAD MEDICARE | OTHER |