# MOUNTAIN PEAKS FAMILY PRACTICE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountain Peaks Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831547363
- **Authorized official:** SUSAN K WADE (OWNER)
- **Authorized official phone:** (970) 216-6199

## Contact information

- **Practice address:** 836 S TOWNSEND AVE STE A, MONTROSE, CO 81401-4360
- **Practice address phone:** (970) 615-9120
- **Practice address fax:** (970) 240-1139
- **Mailing address:** 836 S TOWNSEND AVE STE A, MONTROSE, CO 81401-4360
- **Mailing address phone:** (970) 615-9120
- **Mailing address fax:** (970) 240-1139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2016
- **Last updated:** 10/24/2016