# ROCKY MOUNTAIN VEIN INSTITUTE PROFESSIONAL LLC

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

## Provider details

- **NPI number:** 1457685398
- **Authorized official:** DR. GORDON FABING GIBBS MD (OWNER/PROVIDER)
- **Authorized official phone:** (719) 543-8346

## Contact information

- **Practice address:** 115 E RIVERWALK UNIT 200, PUEBLO, CO 81003-3320
- **Practice address phone:** (719) 543-8346
- **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 | 45004 | CO | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/24/2009
- **Last updated:** 01/11/2024