NPI | 1164048062 |
---|---|
Doing Business As | PARKVIEW MEDICAL GROUP PLASTIC SURGERY |
Entity Type | Organization |
Authorized Contact | DARREN R SMITH Sr VP/COO 719-584-4290 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery |
Enumeration Date | 2020-06-17 |
Last Update Date | 2023-08-29 |