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Organization

COLORADO MOUNTAIN MEDICAL, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANET ENGLE MD (PRESIDENT)
(970) 926-6340
Entity
Organization

Contact information

Practice address
50 BUCK CREEK ROAD, SUITE 200, AVON, CO 81620
(970) 926-6340
(970) 926-6348
Mailing address
PO BOX 5850, C/O CREDENTIALING - LISA KERSTIENS, EAGLE, CO 81631-5850
(970) 926-6340
(970) 926-6348

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207RG0100X
Gastroenterology Physician
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04005617
CO
Enumeration date
03/29/2006
Last updated
09/29/2016
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