# MOUNTAIN MEDICAL SPECIALISTS, LLC

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

## Provider details

- **NPI number:** 1184770307
- **Authorized official:** DR. PAMELA R KINDER MD (PRESIDENT OWNER)
- **Authorized official phone:** (970) 826-0910

## Contact information

- **Practice address:** 595 RUSSELL ST, CRAIG, CO 81625-1920
- **Practice address phone:** (970) 826-0911
- **Practice address fax:** (970) 826-0910
- **Mailing address:** PO BOX 1435, CRAIG, CO 81626-1435
- **Mailing address phone:** (970) 826-0910
- **Mailing address fax:** (970) 826-0911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 10/08/2007