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Shane Rothermel, MD
Adult Reconstructive Orthopedic Surgery Physician in Pueblo, Colorado
NPI 1083000541

Shane Rothermel is an Adult Reconstructive Orthopedic Surgery Physician based in Egg Harbor Township, CO and is specialized in Adult Reconstructive Orthopedic Surgery. Shane Rothermel practices in Pueblo, CO and has the professional credentials of MD. The NPI Number for Shane Rothermel is 1083000541 and holds a License No. 25MA10759000 (Colorado).

The current practice location address for Shane Rothermel is 3676 Parker Blvd Ste 390, Pueblo, CO and can be reached out via phone at 719-595-7780 and via fax at 719-595-7789.

Location: 3676 Parker Blvd Ste 390, Pueblo, CO, 08234-5598
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083000541
Provider Name
Shane Rothermel
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3676 Parker Blvd Ste 390, Pueblo, CO, 08234-5598
Phone Number
719-595-7780
Fax Number
719-595-7789
Provider Enumeration Date
04/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3676 Parker Blvd Ste 390
City
Pueblo
State
Colorado
Zip
81008-2215
Phone Number
719-595-7780
Fax Number
719-595-7789
person
Provider Business Mailing Address Details
Address
3676 Parker Blvd Ste 390
City
Pueblo
State
Colorado
Zip
81008-2215
Phone Number
719-595-7780
Fax Number
719-595-7789
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Adult Reconstructive Orthopedic Surgery
Taxonomy
207XS0114X
License No.
MD462106 (Pennsylvania)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, adult reconstructive orthopedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
25MA10759000 (New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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