Organization
COLORADO MOUNTAIN MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADA WOODS BORG (CHIEF OPERATING OFFICER)
(970) 926-6340
Entity
Organization
Contact information
Practice address
50 BUCK CREEK RD, AVON, CO 81620-5428
(970) 926-6340
(970) 926-6348
Mailing address
PO BOX 4330, AVON, CO 81620-4330
(970) 926-6340
(970) 926-6348
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
12/23/2024
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