| NPI | 1992313373 |
|---|---|
| Doing Business As | GREEN MOUNTAIN CLINIC - PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | JON MCDANIEL VP Of Finance 303-272-0231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2024-06-28 |