Organization
MOUNTAIN MEDICAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA R KINDER MD (PRESIDENT OWNER)
(970) 826-0910
Entity
Organization
Contact information
Practice address
595 RUSSELL ST, CRAIG, CO 81625-1920
(970) 826-0911
(970) 826-0910
Mailing address
PO BOX 1435, CRAIG, CO 81626-1435
(970) 826-0910
(970) 826-0911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04020434
—
CO
Enumeration date
01/29/2007
Last updated
10/08/2007
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