| Parkview Medical Group Wound Care Clinic | |
|
405 W 15th St Ste 210 Pueblo CO 81003-2743 | |
| (719) 584-7300 | |
| (719) 595-7059 |
| Full Name | Parkview Medical Group Wound Care Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 405 W 15th St Ste 210, Pueblo, Colorado |
| Authorized Official Name and Position | Jamie M Estrada (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7196711878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkview Medical Group Wound Care Clinic Po Box 738382 Dallas TX 75373-8382 Ph: (719) 584-4045 | Parkview Medical Group Wound Care Clinic 405 W 15th St Ste 210 Pueblo CO 81003-2743 Ph: (719) 584-7300 |
| NPI Number | 1578308136 |
|---|---|
| Provider Enumeration Date | 06/26/2024 |
| Last Update Date | 06/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578308136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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