| Specialty | Taxonomy Code | |
|---|---|---|
| * | Multi-Specialty | 261QM1300X |
| Family Medicine | 207Q00000X | |
| Internal Medicine | 207R00000X | |
| Obstetrics & Gynecology | 207V00000X |
* Indicates primary specialty
| NPI Number | 1508482159 |
| Legal business name LBN |
COLORADO MOUNTAIN MEDICAL, LLC |
| Authorized official | DIANE VOYTKO - (PHYSICIAN PRESIDENT) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 06/19/2020 |
| Last updated | 06/20/2022 - About 4 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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