Milestone Medical Group INC

NPI #1790072973 in Longmont, Colorado

Provider Information

NPI Number: 1790072973
Entity Type: Organization
Organization Name: Milestone Medical Group INC
Subpart: Yes (part of a larger organization)
Parent Organization: LONGMONT UNITED HOSPITAL
Primary Specialty: Internal Medicine
Enumeration Date: Jul 7, 2011
Last Updated: Mar 2, 2015

Practice Location

Address: 1950 MOUNTAIN VIEW AVE
City: Longmont
State: Colorado
ZIP Code: 80501-3129
Phone: (303) 651-5026

Authorized Official

Name: MITCHELL CARSON
Title: CEO
Phone: (303) 651-5025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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