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Organization

VVMC DIVERSIFIED SERVICES

Active
Parent organization
VVMC DIVERSIFIED SERVICES
Other names
VAIL HEALTH CLINIC VAIL MAIN
Organization subpart
Yes

Provider details

NPI number
Legal business name
VVMC DIVERSIFIED SERVICES
Authorized official
MICHAEL G BROWN (SVP & CFO)
(970) 479-7272
Entity
Organization

Contact information

Practice address
181 W MEADOW DR STE 2400, VAIL, CO 81657-5242
(970) 479-5036
Mailing address
PO BOX 841152, KANSAS CITY, MO 64184-1152
(970) 777-2850

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
208200000X
Plastic Surgery Physician
208600000X
Surgery Physician
2086S0122X
Plastic and Reconstructive Surgery Physician

Other

Enumeration date
01/25/2021
Last updated
01/09/2025
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