| Vantage Medical Inc | |
|
4190 N Garfield Ave Ste 2 Loveland CO 80538-2241 | |
| (907) 663-2273 | |
| Not Available |
| Full Name | Vantage Medical Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4190 N Garfield Ave Ste 2, Loveland, Colorado |
| Authorized Official Name and Position | Shane Jeffery Countryman (OWNER) |
| Authorized Official Contact | 9706632273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vantage Medical Inc 4190 N Garfield Ave Ste 2 Loveland CO 80538-2241 Ph: (907) 663-2273 | Vantage Medical Inc 4190 N Garfield Ave Ste 2 Loveland CO 80538-2241 Ph: (907) 663-2273 |
| NPI Number | 1801545926 |
|---|---|
| Provider Enumeration Date | 03/23/2022 |
| Last Update Date | 03/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801545926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
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