| NPI | 1013115591 |
|---|---|
| Doing Business As | MOUNTAIN MEDICAL PULMONARY & SLEEP CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT LEWIS MCDONALD President 778-882-2106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV10196) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV6433) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 12017) | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2012-12-04 |