| Parkview Medical Group Internal Medicine | |
|
3676 Parker Blvd Ste 110 Pueblo CO 81008-2213 | |
| (719) 595-7707 | |
| (719) 595-7629 |
| Full Name | Parkview Medical Group Internal Medicine |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 3676 Parker Blvd Ste 110, 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 Medical Group Internal Medicine 58 Club Manor Dr Pueblo CO 81008-1601 Ph: (719) 595-7417 | Parkview Medical Group Internal Medicine 3676 Parker Blvd Ste 110 Pueblo CO 81008-2213 Ph: (719) 595-7707 |
| NPI Number | 1316580061 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 02/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316580061 | NPI | - | NPPES |
| 22584226 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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