Organization
COLORADO MOUNTAIN MEDICAL, LLC
Active
Other names
Colorado Mountain Medical, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE VOYTKO (PHYSICIAN PRESIDENT)
(970) 926-6340
Entity
Organization
Contact information
Practice address
50 BUCK CREEK RD STE 200, AVON, CO 81620-5444
(970) 926-6340
(970) 926-6348
Mailing address
PO BOX 4330, AVON, CO 81620-4330
(970) 845-2903
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208800000X
Urology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
06/08/2022
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