NPI 1760847008

Alpine Medical and Specialty Practice

Organisation Exclusive Provider Organization Pagosa Springs, CO

Practice location

Address: 117 Navajo Trail Drive Unit Z, Pagosa Springs, CO 81147-8903
Phone: (970) 946-9939
Mailing address: 30 Limestone CT, Pagosa Springs, CO 81147-8903

Authorised official

Name: Tabitha Zappone
Title: Owner
Phone: (970) 946-9939

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 0990376 (CO)

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Registry record

NPI: 1760847008
Entity type: Organization
NPI issued: 30 Dec 2015
Record last updated: 30 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.