ASPEN MOUNTAIN PHYSICIAN PRACTICE MANAGEMENT LLC NPI 1932766706

NPI Information

  • NPI: 1932766706
  • Provider Name: ASPEN MOUNTAIN PHYSICIAN PRACTICE MANAGEMENT LLC
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • CLIA Number: 53D2106190
  • Address: 4401 COLLEGE DR
    ROCK SPRINGS, WY
    ZIP 82901
  • Phone: (307) 352-8903

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NPI Details

ASPEN MOUNTAIN PHYSICIAN PRACTICE MANAGEMENT LLC is an orthopaedic surgery in Rock Springs, WY. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. ASPEN MOUNTAIN PHYSICIAN PRACTICE MANAGEMENT LLC NPI is 1932766706. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4401 COLLEGE DR
ROCK SPRINGS, WY
ZIP 82901-507
Phone: (307) 352-8903
Fax: (307) 352-8901

The provider's authorized official is Tessa Blair Kelley .
The authorized official title is Registered Agent and has the following contact phone number (307) 352-8903.

The CLIA number assigned to this NPI record is 53D2106190 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/28/2019 and was last updated on 2/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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