| NPI | 1831547363 |
|---|---|
| Doing Business As | MOUNTAIN PEAKS FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SUSAN K WADE Owner 970-216-6199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-10-24 |