| Parkview Ancillary Services | |
|
216 W 13th St Pueblo CO 81003-3704 | |
| (719) 595-7474 | |
| (719) 595-7199 |
| Full Name | Parkview Ancillary Services |
|---|---|
| Speciality | Family Medicine - Adolescent Medicine |
| Location | 216 W 13th St, Pueblo, Colorado |
| Authorized Official Name and Position | Darrin R Smith (SR. VP/COO) |
| Authorized Official Contact | 7195844290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkview Ancillary Services 408 N Main St Pueblo CO 81003-3123 Ph: (719) 595-7417 | Parkview Ancillary Services 216 W 13th St Pueblo CO 81003-3704 Ph: (719) 595-7474 |
| NPI Number | 1285278515 |
|---|---|
| Provider Enumeration Date | 10/30/2019 |
| Last Update Date | 10/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285278515 | NPI | - | NPPES |
| 07725779 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | (* (Not Available)) | Primary |
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