Provider Demographics
NPI:1609342922
Name:BEAR VALLEY MEDICAL PLLC
Entity Type:Organization
Organization Name:BEAR VALLEY MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CANTWAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-846-4665
Mailing Address - Street 1:PO BOX 881840
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80488-1840
Mailing Address - Country:US
Mailing Address - Phone:970-846-4665
Mailing Address - Fax:970-875-5741
Practice Address - Street 1:442 OAK STREET
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-0000
Practice Address - Country:US
Practice Address - Phone:970-875-6062
Practice Address - Fax:970-875-5741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-15
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty