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Organization

MOUNTAIN VIEW MEDICAL GROUP, LLC

Active
Parent organization
COLORADO SPRINGS HEALTH PARTNERS ASC LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
COLORADO SPRINGS HEALTH PARTNERS ASC LLC
Authorized official
BRUCE MINEAR (CHIEF EXECUTIVE OFFICER)
(719) 590-1177
Entity
Organization

Contact information

Practice address
5575 TECH CENTER DR, SUITE 106, COLORADO SPRINGS, CO 80919-2353
(719) 590-1177
Mailing address
5575 TECH CENTER DR, SUITE 106, COLORADO SPRINGS, CO 80919-2353
(719) 590-1177

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
208000000X
Pediatrics Physician
2084N0400X
Neurology Physician
213E00000X
Podiatrist
213ES0103X
Foot & Ankle Surgery Podiatrist
363A00000X
Physician Assistant
363LF0000X
Family Nurse Practitioner
363LP0200X
Pediatric Nurse Practitioner

Other

Enumeration date
10/27/2016
Last updated
10/27/2016
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