NPI | 1497597314 |
---|---|
Other Name | PARKVIEW SPECIALTY CLINIC LAMAR |
Entity Type | Organization |
Authorized Contact | JAMIE M ESTRADA Credentialing Specialist 719-671-1878 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2024-06-11 |
Last Update Date | 2024-06-28 |