Mountain Revival Vail, LLC
Mountain Revival Vail, LLC is a Public Health & General Preventive Medicine Physician in Vail, Colorado. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2211 N Frontage Rd WVail, CO 81657-3937
Phone: (978) 621-4027
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Public Health & General Preventive Medicine Physician (primary) | Taxonomy 2083P0901X |
|---|
Record details
| NPI number | 1154129815 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pamela Shifrin — Owner · (978) 621-4027 |
| NPI enumerated | March 6, 2025 |
| Last updated in NPPES | March 6, 2025 |
| Certification date | March 6, 2025 |
| Mailing address | 2211 N Frontage Rd W, Vail, CO 81657-3937 |