Organization
MOUNTAINOCCUPATIONALMEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLINE MARGARET GELLRICK M.D. (PHYSICIAN)
(303) 877-6113
Entity
Organization
Contact information
Practice address
4045 WADSWORTH BLVD, SUITE #311, WHEAT RIDGE, CO 80033-4642
(303) 877-6113
(303) 425-1661
Mailing address
2838 OLYMPIA CIR, EVERGREEN, CO 80439-8800
(303) 877-6113
(303) 986-3680
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
21414
CO
261QX0100X
Occupational Medicine Clinic/Center
Primary
21414
CO
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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