Organization
PARKVIEW ANCILLARY SERVICES
Active
Parent organization
PARKVIEW ANCILLARY SERVICES
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
1600 N. GRAND AVE., STE. 500B, PUEBLO, CO 81003-2757
(719) 562-2900
(719) 924-1592
Mailing address
58 CLUB MANOR DR, PUEBLO, CO 81008-1601
(719) 595-7417
(719) 542-0809
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000169055
—
CO
Enumeration date
10/09/2019
Last updated
02/02/2022
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