| NPI | 1730747445 |
|---|---|
| Doing Business As | COLORADO MOUNTAIN MEDICAL, LLC |
| Entity Type | Organization |
| Authorized Contact | DIANE VOYTKO Physician President 970-926-6340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207N00000X Dermatology |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RN0300X Internal Medicine Nephrology | |
| 207V00000X Obstetrics & Gynecology | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208800000X Urology | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2022-06-08 |