| Colorado Mountain Medical, Llc | |
|
81 Morgan Dr # B Edwards CO 81632-5371 | |
| (970) 926-6340 | |
| (970) 926-6348 |
| Full Name | Colorado Mountain Medical, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 81 Morgan Dr # B, Edwards, Colorado |
| Authorized Official Name and Position | Ada Woods Borg (CHIEF OPERATING OFFICER) |
| 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 81 Morgan Dr # B Edwards CO 81632-5371 Ph: (970) 926-6340 |
| NPI Number | 1295515252 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 10/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295515252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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