| Company Name: | MOUNTAIN REGION FAMILY MEDICINE, PC |
| Employer identification number (EIN): | 62-1584391 |
| EIN Issuing Authority | Philadelphia, PA |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| 401k Pension/Benefits registration | MOUNTAIN REGION FAMILY MEDICINE, PC 401k plan information |
The following addresses have been detected as associated with Tax Indentification Number 621584391
| USA Mailing Address |
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