Organization
PARKVIEW ANCILLARY SERVICES
Active
Other names
Parkview Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
DARRIN R SMITH (SR VP/COO)
(719) 584-4290
Entity
Organization
Contact information
Practice address
3676 PARKER BLVD., STE. 310, PUEBLO, CO 81008-2212
(719) 595-7780
(719) 595-7789
Mailing address
408 NORTH MAIN STREET, PUEBLO, CO 81003-3123
(719) 595-7417
(719) 542-0809
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000152520
—
CO
Enumeration date
12/31/2019
Last updated
12/31/2019
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