| Monte Vista Family Practice | |
|
103 Chico Ct Monte Vista CO 81144-1065 | |
| (719) 852-9400 | |
| Not Available |
| Full Name | Monte Vista Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 103 Chico Ct, Monte Vista, Colorado |
| Authorized Official Name and Position | Mark David Pinkerton (MD) |
| Authorized Official Contact | 7198529400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monte Vista Family Practice 103 Chico Ct Monte Vista CO 81144-1065 Ph: (719) 852-9400 | Monte Vista Family Practice 103 Chico Ct Monte Vista CO 81144-1065 Ph: (719) 852-9400 |
| NPI Number | 1417935438 |
|---|---|
| Provider Enumeration Date | 01/09/2006 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417935438 | NPI | - | NPPES |
| 18959253 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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