Organization
COLORADO MOUNTAIN MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KERSTIENS (PHYSICIAN RELATIONS MANAGER)
(970) 845-2903
Entity
Organization
Contact information
Practice address
323 W MAIN ST STE 101, FRISCO, CO 80443-5966
(970) 926-6340
Mailing address
PO BOX 4330, AVON, CO 81620-4330
(970) 926-6340
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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