Organization
VVMC DIVERSIFIED SERVICES
Active
Other names
VAIL HEALTH CLINIC LEADVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D HIGGINS (SVP CHIEF FINANCIAL OFFICER)
(970) 479-5131
Entity
Organization
Contact information
Practice address
822 W 4TH ST, LEADVILLE, CO 80461-3861
(719) 486-0230
Mailing address
PO BOX 841152, KANSAS CITY, MO 64184-1152
(970) 777-2850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
10/06/2023
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