Organization
PARKVIEW ANCILLARY SERVICES
Active
Parent organization
PARKVIEW ANCILLARY SERVICES
Other names
Parkview Medical Group Anesthesiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARKVIEW ANCILLARY SERVICES
Authorized official
DARRIN R SMITH (SR. VP/COO)
(719) 584-4290
Entity
Organization
Contact information
Practice address
58 CLUB MANOR DRIVE, PUEBLO, CO 81008-1601
(719) 595-7417
(719) 542-0809
Mailing address
58 CLUB MANOR DRIVE, PUEBLO, CO 81008-1601
(719) 595-7417
(719) 542-0809
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000144707
—
CO
Enumeration date
10/25/2019
Last updated
05/15/2021
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