# MOUNTAIN STREAMS MEDICAL CENTER PC

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

## Provider details

- **NPI number:** 1710046958
- **Authorized official:** DR. SCOTT B WOODY DO (PRESIDENT)
- **Authorized official phone:** (719) 321-6974

## Contact information

- **Practice address:** 2155 HOLLOW BROOK DR STE 60, COLORADO SPRINGS, CO 80918-1455
- **Practice address phone:** (719) 536-4831
- **Practice address fax:** (719) 536-4814
- **Mailing address:** PO BOX 820, CASTLE ROCK, CO 80104-0820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 39735 | CO | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 06/02/2020