Organization
ELEVATION MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PUSTILNIK (PARTNER)
(970) 207-4066
Entity
Organization
Contact information
Practice address
4745 BOARDWALK DR UNIT C1, FORT COLLINS, CO 80525-3769
(970) 207-4066
(970) 225-1392
Mailing address
4745 BOARDWALK DR UNIT C1, FORT COLLINS, CO 80525-3769
(970) 207-4066
(970) 225-1392
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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