Organization · Type 2 NPI

Banner Mountain Vista Orthopaedic Medical Clinic

Multi-Specialty Clinic/Center · Windsor, CO

NPI number 1811252125 Active

Practice location

1300 Main St
Windsor, CO 80550-5989

Call (970) 348-0020 Map

Fax (970) 348-0055

Mailing address

1441 N 12th St
Phoenix, AZ 85006-2837

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1811252125

Banner Mountain Vista Orthopaedic Medical Clinic's National Provider Identifier is 1811252125, issued on Jul 12, 2012. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Windsor, CO. The record was last updated on Jul 12, 2012.