Organization
MONTE VISTA FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVID PINKERTON MD (MD)
(719) 852-9400
Entity
Organization
Contact information
Practice address
103 CHICO CT, MONTE VISTA, CO 81144-1065
(719) 852-9400
Mailing address
103 CHICO CT, MONTE VISTA, CO 81144-1065
(719) 852-9400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18959253
—
CO
Enumeration date
01/09/2006
Last updated
05/27/2008
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