Organization
VVMC DIVERSIFIED SERVICES
Active
Other names
Plastic Surgery, Breast Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G BROWN (SVP & CFO)
(970) 479-7272
Entity
Organization
Contact information
Practice address
180 S FRONTAGE ROAD WEST, SUITE 306, VAIL, CO 81657
(970) 569-7656
(970) 470-6689
Mailing address
PO BOX 841152, KANSAS CITY, MO 64184-1152
(970) 777-2850
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/20/2008
Last updated
01/09/2025
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