Organization
PARKVIEW ANCILLARY SERVICES
Active
Parent organization
PARKVIEW ANCILLARY SERVICES
Other names
Parkview Medical Group Family Practice and Palliative Med
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
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 562-2370
(719) 562-2097
Mailing address
58 CLUB MANOR DR, PUEBLO, CO 81008-1601
(719) 595-7417
(719) 542-0809
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000145000
—
CO
Enumeration date
10/14/2019
Last updated
08/13/2024
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