Organization
VAIL CLINIC, INC.
Active
Other names
Shaw at Home
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G BROWN (SVP & CFO)
(970) 479-7272
Entity
Organization
Contact information
Practice address
322 BEARD CREEK RD STE G102A, EDWARDS, CO 81632-6433
(970) 569-7622
Mailing address
PO BOX 840220, KANSAS CITY, MO 64184-0220
(970) 777-2850
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
01/09/2025
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