| NPI | 1457685398 |
|---|---|
| Doing Business As | AMERICAN VEIN & VASCULAR |
| Entity Type | Organization |
| Authorized Contact | GORDON FABING GIBBS Owner/Provider 719-543-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO 45004) |
| 261Q00000X | |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2024-01-11 |