Organization
PARKVIEW ANCILLARY SERVICES
Active
Parent organization
PARKVIEW ANCILLARY SERVICES
Other names
Urology Consultants, PC
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
4100 JERRY MURPHY, PUEBLO, CO 81001-1046
(719) 545-9713
(719) 545-6826
Mailing address
58 CLUB MANOR DR, PUEBLO, CO 81008-1601
(719) 595-7417
(719) 542-0809
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37610511
—
CO
Enumeration date
09/19/2019
Last updated
02/07/2022
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