Organization
WELLNESS MOUNTAIN MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE GRAY MD (PRESIDENT)
(970) 401-0126
Entity
Organization
Contact information
Practice address
615 FAIRHURST ST, STERLING, CO 80751-4523
(970) 522-0122
Mailing address
PO BOX 2134, EDWARDS, CO 81632-2134
(970) 401-0126
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
03/03/2022
Last updated
05/09/2022
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