| Colorado Mountain Medical, Llc | |
|
195 Freestone Rd Eagle CO 81631-5930 | |
| (970) 989-2500 | |
| Not Available |
| Full Name | Colorado Mountain Medical, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 195 Freestone Rd, Eagle, Colorado |
| Authorized Official Name and Position | Diane Voytko (PHYSICIAN PRESIDENT) |
| Authorized Official Contact | 9709266340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Mountain Medical, Llc Po Box 4330 Avon CO 81620-4330 Ph: (970) 926-6340 | Colorado Mountain Medical, Llc 195 Freestone Rd Eagle CO 81631-5930 Ph: (970) 989-2500 |
| NPI Number | 1720664659 |
|---|---|
| Provider Enumeration Date | 03/22/2021 |
| Last Update Date | 06/08/2022 |
| Certification Date | 06/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720664659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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