Vvmc Diversified Services

NPI #1881809457 in Edwards, Colorado

Provider Information

NPI Number: 1881809457
Entity Type: Organization
Organization Name: Vvmc Diversified Services
Subpart: Yes (part of a larger organization)
Parent Organization: VAIL CLINIC INC
Primary Specialty: Specialist
Enumeration Date: May 14, 2007
Last Updated: Apr 29, 2009

Practice Location

Address: 322 BEARD CREEK ROAD
City: Edwards
State: Colorado
ZIP Code: 81632
Phone: (970) 569-3850

Authorized Official

Name: MR. CHARLES W CREVLING
Title: CFO
Phone: (970) 479-7238

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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