Organization
PVHS/TIMBERLINE, LLC
Active
Other names
Timberline Medical, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHARI L SELL PREMER (OFFICE MANAGER)
(970) 586-2343
Entity
Organization
Contact information
Practice address
131 STANLEY AVE, STE 202, ESTES PARK, CO 80517-6363
(970) 586-2343
(970) 586-9060
Mailing address
131 STANLEY AVE, STE 202, ESTES PARK, CO 80517-6363
(970) 586-2343
(970) 586-9060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12383376
—
CO
Enumeration date
03/29/2006
Last updated
11/05/2007
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