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
230 CHAPEL PLACE, UNIT D102, AVON, CO 81620-6498
(970) 926-6350
(970) 926-6355
Mailing address
PO BOX 4330, AVON, CO 81620-4330
(970) 926-6350
(970) 926-6348
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
06/08/2022
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