# ROCKY MOUNTAIN VEIN INSTITUTE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** American Vein & Vascular
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013518471
- **Authorized official:** GORDON F GIBBS MD (PROVIDER RELATIONS)
- **Authorized official phone:** (719) 543-8346

## Contact information

- **Practice address:** 105 EDWARDS VILLAGE BLVD, UNIT C-202, EDWARDS, CO 81632-3211
- **Practice address phone:** (970) 763-7600
- **Practice address fax:** (719) 545-1829
- **Mailing address:** PO BOX 7702, LOVELAND, CO 80537-0702
- **Mailing address phone:** (970) 663-2742
- **Mailing address fax:** (970) 342-2093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2020
- **Last updated:** 11/05/2020