Provider Demographics
NPI:1548456429
Name:CENTER FOR MUSCULOSKELETAL & DISABILITY EVALUATIONS PC
Entity type:Organization
Organization Name:CENTER FOR MUSCULOSKELETAL & DISABILITY EVALUATIONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:P
Authorized Official - Last Name:TONER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-565-9500
Mailing Address - Street 1:1280 N MILDRED RD STE 1
Mailing Address - Street 2:
Mailing Address - City:CORTEZ
Mailing Address - State:CO
Mailing Address - Zip Code:81321-2212
Mailing Address - Country:US
Mailing Address - Phone:970-565-9500
Mailing Address - Fax:970-565-9538
Practice Address - Street 1:1280 N MILDRED RD STE 1
Practice Address - Street 2:
Practice Address - City:CORTEZ
Practice Address - State:CO
Practice Address - Zip Code:81321-2212
Practice Address - Country:US
Practice Address - Phone:970-565-9500
Practice Address - Fax:970-565-9538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO19506207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COE12561Medicare UPIN
CO5530960001Medicare NSC