Organization
ALPINE MEDICAL GROUP OF THE ROARING FORK VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE CHILDREE (PRACTICE MANAGER)
(970) 927-6101
Entity
Organization
Contact information
Practice address
1450 E VALLEY RD, SUITE 101, BASALT, CO 81621-8304
(970) 927-6101
(970) 927-6888
Mailing address
1450 E VALLEY RD, SUITE 101, BASALT, CO 81621-8304
(970) 927-6101
(970) 927-6888
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52427277
—
CO
Enumeration date
01/22/2007
Last updated
08/22/2020
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