NPI | 1104462597 |
---|---|
Doing Business As | PARKVIEW ADULT MEDICINE CLINIC |
Entity Type | Organization |
Authorized Contact | DARRIN R SMITH Sr. VP/COO 719-584-4290 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
Enumeration Date | 2019-11-21 |
Last Update Date | 2022-02-01 |