# ROCKY MOUNTAIN VEIN INSTITUTE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ROCKY MOUNTAIN VEIN INSTITUTE PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144547191
- **Legal business name:** ROCKY MOUNTAIN VEIN INSTITUTE PLLC
- **Authorized official:** GORDON FABING GIBBS MD (OWNER/PROVIDER)
- **Authorized official phone:** (719) 543-8346

## Contact information

- **Practice address:** 9441 HURON ST, THORNTON, CO 80260-5426
- **Practice address phone:** (719) 415-3092
- **Practice address fax:** (719) 546-6236
- **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 |
| 2085U0001X | Diagnostic Ultrasound Physician | 45004 | CO | — |

## Other

- **Enumeration date:** 04/30/2010
- **Last updated:** 11/18/2020