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 |
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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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