Organization
ROCKY MOUNTAIN VEIN INSTITUTE PROFESSIONAL LLC
Active
Other names
American Vein & Vascular
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON FABING GIBBS MD (OWNER/PROVIDER)
(719) 543-8346
Entity
Organization
Contact information
Practice address
115 E RIVERWALK UNIT 200, PUEBLO, CO 81003-3320
(719) 543-8346
(719) 545-1829
Mailing address
PO BOX 7702, LOVELAND, CO 80537-0702
(970) 663-2742
(970) 342-2093
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
45004
CO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
09/24/2009
Last updated
01/11/2024
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