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Organization
MOUNTAIN VIEW MEDICAL GROUP, LLC
Active
Organization
MOUNTAIN VIEW MEDICAL GROUP, LLC
Active
Parent organization
COLORADO SPRINGS HEALTH PARTNERS ASC LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO SPRINGS HEALTH PARTNERS ASC LLC
Authorized official
BRUCE MINEAR (CHIEF EXECUTIVE OFFICER)
(719) 590-1177
Entity
Organization
Contact information
Practice address
5575 TECH CENTER DR, SUITE 106, COLORADO SPRINGS, CO 80919-2353
(719) 590-1177
Mailing address
5575 TECH CENTER DR, SUITE 106, COLORADO SPRINGS, CO 80919-2353
(719) 590-1177
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
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
NULL
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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