Organization
VVMC DIVERSIFIED SERVICES
Active
Parent organization
VVMC DIVERSIFIED SERVICES
Other names
VAIL HEALTH CLINIC FRISCO
Organization subpart
Yes
Provider details
NPI number
Legal business name
VVMC DIVERSIFIED SERVICES
Authorized official
JOHN D HIGGINS (SVP CHIEF FINANCIAL OFFICER)
(970) 479-5131
Entity
Organization
Contact information
Practice address
323 W MAIN ST STE 101, FRISCO, CO 80443-5966
(970) 668-6402
Mailing address
PO BOX 40000, VAIL, CO 81658-7520
(970) 479-7272
(970) 470-6548
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
208600000X
Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
01/08/2021
Last updated
11/29/2021
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