Mountain Revival Vail, LLC

NPI #1154129815 in Vail, Colorado

Provider Information

NPI Number: 1154129815
Entity Type: Organization
Organization Name: Mountain Revival Vail, LLC
Primary Specialty: Preventive Medicine - Public Health & General Preventive Medicine
Enumeration Date: Mar 6, 2025
Last Updated: Mar 6, 2025

Practice Location

Address: 2211 N FRONTAGE RD W
City: Vail
State: Colorado
ZIP Code: 81657-3937
Phone: (978) 621-4027

Authorized Official

Name: PAMELA SHIFRIN, MT
Title: OWNER
Phone: (978) 621-4027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Preventive Medicine - Public Health & General Preventive Medicine — Public Health & General Preventive Medicine	2083P0901X	Primary

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