| Organization Name: | ALPINE MEDICAL INC |
| NPI Number: | 1104210772 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH CARUSSO (COO) |
| Mailing Address: | 400 N Park Ave 10-b Ste 297 Breckenridge |
| State: | CO US |
| Postal Code: | 80424 |
| Phone Number: | 8008641127 |
| Fax Number: | 8008641127 |
| NPI Enumeration Date: | 03/23/2015 |
| NPI Last Update Date: | 03/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744P3200X |
| License Number: | SV107492 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Prosthetics Case Management |
| Taxonomy Definition: | |