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Organization
COLORADO MOUNTAIN MEDICAL, PC
Active
Organization
COLORADO MOUNTAIN MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANET ENGLE MD (PRESIDENT)
(970) 926-6340
Entity
Organization
Contact information
Practice address
50 BUCK CREEK ROAD, SUITE 200, AVON, CO 81620
(970) 926-6340
(970) 926-6348
Mailing address
PO BOX 5850, C/O CREDENTIALING - LISA KERSTIENS, EAGLE, CO 81631-5850
(970) 926-6340
(970) 926-6348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
NULL
207RG0100X
Gastroenterology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
03/29/2006
Last updated
09/29/2016
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