Organization
MOUNTAIN REVIVAL VAIL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA SHIFRIN MT (OWNER)
(978) 621-4027
Entity
Organization
Contact information
Practice address
2211 N FRONTAGE RD W, VAIL, CO 81657-3937
(978) 621-4027
Mailing address
2211 N FRONTAGE RD W, VAIL, CO 81657-3937
(978) 621-4027
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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