NPI | 1164048062 |
---|---|
Doing Business As | PARKVIEW MEDICAL GROUP |
Other Name | UCHEALTH PLASTIC AND RECONSTRUCTIVE SURGERY CLINIC - PARKVIEW MOB |
Entity Type | Organization |
Authorized Contact | JANA CONROY Director Of Credentialing 719-542-2470 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery |
Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
Enumeration Date | 2020-06-17 |
Last Update Date | 2024-11-26 |