Organization
MOUNTAIN VIEW CARDIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICKEY ROUSH (OFFICE MANAGER)
(970) 252-1020
Entity
Organization
Contact information
Practice address
17 N MESA, MONTROSE, CO 81401
(970) 252-1020
(970) 252-1041
Mailing address
17 N MESA, MONTROSE, CO 81401
(970) 252-1020
(970) 252-1041
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
EIN
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04021580
—
CO
01
—
CG5101
RR MEDICARE
—
Enumeration date
01/30/2007
Last updated
07/21/2022
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