Organization
PARKVIEW ANCILLARY SERVICES
Active
Other names
Sangre De Cristo Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DARRIN R SMITH (SR VP/COO)
(719) 584-4290
Entity
Organization
Contact information
Practice address
1600 N. GRAND AVE., STE. 430, PUEBLO, CO 81003
(719) 545-8240
(719) 545-4319
Mailing address
58 CLUB MANOR DR., PUEBLO, CO 81008
(719) 595-7417
(719) 542-0809
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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