# MOUNTAIN VEIN CARE PROFESSIONAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountain Vein Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629310107
- **Authorized official:** CARL DANDO MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (724) 799-4917

## Contact information

- **Practice address:** 50 BUCK CREEK RD STE 205, AVON, CO 81620-5428
- **Practice address phone:** (970) 766-8346
- **Practice address fax:** (888) 979-8915
- **Mailing address:** PO BOX 450, EDWARDS, CO 81632-0450
- **Mailing address phone:** (970) 766-8346
- **Mailing address fax:** (888) 979-8915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 49096 | CO | Yes |

## Other

- **Enumeration date:** 03/21/2013
- **Last updated:** 10/13/2021