| Parkview Adult Medicine Clinic | |
|
311 West 14th Street Pueblo CO 81003-2710 | |
| (719) 595-7585 | |
| (719) 595-7589 |
| Full Name | Parkview Adult Medicine Clinic |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 311 West 14th Street, 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 Adult Medicine Clinic 58 Club Manor Dr Pueblo CO 81008-1601 Ph: (719) 595-7417 | Parkview Adult Medicine Clinic 311 West 14th Street Pueblo CO 81003-2710 Ph: (719) 595-7585 |
| NPI Number | 1104462597 |
|---|---|
| Provider Enumeration Date | 11/21/2019 |
| Last Update Date | 02/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104462597 | NPI | - | NPPES |
| 12701378 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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