Healthcare Provider Details

I. General information

NPI: 1003621186
Provider Name (Legal Business Name): MONTROSE HORMONE HEALTH & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2025
Last Update Date: 02/07/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 S 5TH ST
MONTROSE CO
81401-5705
US

IV. Provider business mailing address

332 S 5TH ST
MONTROSE CO
81401-5705
US

V. Phone/Fax

Practice location:
  • Phone: 970-650-8050
  • Fax:
Mailing address:
  • Phone: 970-650-8050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: WENDY CAMPBELL
Title or Position: OWNER
Credential:
Phone: 970-729-0239