| NPI | 1851810113 |
|---|---|
| Other Name | MOUNTAIN MEDICAL SPECIALISTS LLC |
| Entity Type | Organization |
| Authorized Contact | JACK L SHARON President 719-475-0299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2022-07-21 |