# ROCKY MOUNTAIN VEIN INSTITUTE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ROCKY MOUNTAIN VEIN INSTITUTE, PLLC
- **Other names:** American Vein & Vascular
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992303218
- **Legal business name:** ROCKY MOUNTAIN VEIN INSTITUTE, PLLC
- **Authorized official:** GORDON F GIBBS MD (OWNER/PROVIDER)
- **Authorized official phone:** (719) 543-8346

## Contact information

- **Practice address:** 109 LATIGO LN STE D, CANON CITY, CO 81212-8113
- **Practice address phone:** (719) 766-8391
- **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:** 10/09/2020
- **Last updated:** 10/09/2020