Organization
COLORADO MOUNTAIN MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE VOYTKO (PHYSICIAN PRESIDENT)
(970) 926-6340
Entity
Organization
Contact information
Practice address
429 EDWARDS ACCESS RD UNIT A207, EDWARDS, CO 81632-5559
(970) 926-6340
(970) 926-6348
Mailing address
PO BOX 4330, AVON, CO 81620-4330
(970) 926-6340
(970) 926-6348
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
08/26/2020
Last updated
01/26/2023
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