| Parkview Gastroenterology | |
|
1600 N. Grand Ave. Ste. 150 Pueblo CO 81003-2749 | |
| (719) 595-7680 | |
| (719) 595-7687 |
| Full Name | Parkview Gastroenterology |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1600 N. Grand Ave., 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 Gastroenterology 58 Club Manor Dr Pueblo CO 81008-1601 Ph: (719) 595-7417 | Parkview Gastroenterology 1600 N. Grand Ave. Ste. 150 Pueblo CO 81003-2749 Ph: (719) 595-7680 |
| NPI Number | 1780226035 |
|---|---|
| Provider Enumeration Date | 10/08/2019 |
| Last Update Date | 02/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780226035 | NPI | - | NPPES |
| 63027348 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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