NPI | 1043939028 |
---|---|
Doing Business As | PARKVIEW MEDICAL GROUP BREAST SURGERY |
Entity Type | Organization |
Authorized Contact | JAMIE M ESTRADA Credentialing Specialist 719-595-7417 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2022-08-24 |
Last Update Date | 2022-08-24 |