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Vvmc Diversified Services INC

Internal Medicine, Cardiovascular Disease in Vail, CO. Organization (NPI-2).

NPI number1265616627
StatusActive
Last updated in NPPESDec 16, 2008

Details

NPI
1265616627
Entity type
Organization (NPI-2)
Legal business name
Vvmc Diversified Services INC
Organization subpart
Yes
Enumeration date
Dec 20, 2007
Last updated
Dec 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0000X Internal Medicine, Cardiovascular Disease––Yes

Other names

  • Avanti Cardiology (Doing Business As)

Practice location

108 South Frontage Road West
206
Vail, CO 81657

Phone 970-476-1110 · Fax 970-476-7319

Mailing address

Po Box 848997
Boston, MA 02284-8997

Phone 970-476-1110

Authorized official

Charles W Crevling
Cfo
9704797238

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