Organization
COLORADO MOUNTAIN MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE VOYTKO (PHYSICIAN PRESIDENT)
(970) 926-6340
Entity
Organization
Contact information
Practice address
195 FREESTONE RD, EAGLE, CO 81631-5930
(970) 989-2500
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
01/12/2021
Last updated
06/08/2022
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