Organization
COLORADO MOUNTAIN MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE VOYTKO (PHYSICIAN)
(970) 926-6340
Entity
Organization
Contact information
Practice address
180 S FRONTAGE RD W STE 5800, VAIL, CO 81657-5038
(970) 926-6340
(970) 926-6348
Mailing address
PO BOX 4330, AVON, CO 81620-4330
(970) 845-2903
(970) 926-6348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
07/02/2026
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