National Provider Identifier Database

COLORADO MOUNTAIN MEDICAL LLC
Multi-Specialty


Contact Information

COLORADO MOUNTAIN MEDICAL, LLC
365 DILLON RIDGE RD STE 1100
DILLON, CO80435-6344
Phone: 970-926-6340
Fax: 970-926-6348
Website:
Specialty Taxonomy Code
* Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for COLORADO MOUNTAIN MEDICAL, LLC

NPI Number 1679263933
Legal business name
LBN
COLORADO MOUNTAIN MEDICAL, LLC
Authorized official DIANE VOYTKO - (PHYSICIAN PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/10/2023
Last updated 05/10/2023 - About 3 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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