| Colorado Mountain Medical, Llc | |
|
323 W Main St Ste 101 Frisco CO 80443-5966 | |
| (970) 926-6340 | |
| Not Available |
| Full Name | Colorado Mountain Medical, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 323 W Main St Ste 101, Frisco, Colorado |
| Authorized Official Name and Position | Lisa Kerstiens (PHYSICIAN RELATIONS MANAGER) |
| Authorized Official Contact | 9708452903 |
| 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 323 W Main St Ste 101 Frisco CO 80443-5966 Ph: (970) 926-6340 |
| NPI Number | 1982270138 |
|---|---|
| Provider Enumeration Date | 05/28/2021 |
| Last Update Date | 05/28/2021 |
| Certification Date | 05/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982270138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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