Organization
VAIL CLINIC, INC.
Active
Other names
Keystone Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH PROPP (CFO)
(970) 479-7238
Entity
Organization
Contact information
Practice address
1252 COUNTY RD 8, KEYSTONE, CO 80435
(970) 468-6677
(970) 569-7453
Mailing address
PO BOX 270596, LOUISVILLE, CO 80027-5009
(970) 569-7478
(970) 569-7453
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0563
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33656321
—
CO
Enumeration date
10/17/2006
Last updated
08/22/2020
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