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Organization
MOUNTAIN MEDICAL CENTER OF BUENA VISTA, PC
Active
Organization
MOUNTAIN MEDICAL CENTER OF BUENA VISTA, PC
Active
Other names
Mountain Medical Center of Buena Vista, PC
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS E WHITE M.D. (PRESIDENT)
(719) 395-8632
Entity
Organization
Contact information
Practice address
36 OAK STREET, BUENA VISTA, CO 81211
(719) 395-8632
(719) 395-4971
Mailing address
PO BOX 3129, BUENA VISTA, CO 81211-3129
(719) 395-8632
(719) 395-4971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/24/2006
Last updated
05/14/2013
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