NPI 1760956924
Mountain Trail Medical
Practice location
- Address
- 542 16th St, Rawlins, WY 82301-5241
- Phone
- (307) 324-2759
- Mailing address
- 1001a E Harmony Rd # 338, Fort Collins, CO 80525-3354
Authorised official
- Name
- Marvin Wayne Couch
- Title
- President/Owner
- Phone
- (307) 320-7075
Registered specialties
Family Medicine Physician
Primary
Registry record
- NPI
- 1760956924
- Entity type
- Organization
- NPI issued
- 21 Jan 2019
- Record last updated
- 29 Nov 2023
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.