# ROCKY MOUNTAIN DIABETES SOLUTIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073890133
- **Authorized official:** CONSTANCE L GABLE FNP, ADM-BC, CDE (OWNER/OPERATOR)
- **Authorized official phone:** (719) 207-6694

## Contact information

- **Practice address:** 109 BROOKDALE AVE., SUITE A, BUENA VISTA, CO 81211
- **Practice address phone:** (719) 207-6694
- **Mailing address:** PO BOX 1874, LEADVILLE, CO 80461-1874
- **Mailing address phone:** (719) 207-6694
- **Mailing address fax:** (855) 291-7480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | NP5090 | CO | Yes |

## Other

- **Enumeration date:** 11/03/2011
- **Last updated:** 05/22/2012