Organization
COLORADO MOUNTAIN MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE VOYTKO (PHYSICIAN PRESIDENT)
(970) 845-2903
Entity
Organization
Contact information
Practice address
180 S FRONTAGE RD W, 5800, VAIL, CO 81657-5038
(970) 926-6340
Mailing address
PO BOX 4330, AVON, CO 81620-4330
(970) 926-6340
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
06/08/2022
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