| NPI | 1578308136 |
|---|---|
| Doing Business As | PARKVIEW MEDICAL GROUP |
| Other Name | UCHEALTH WOUND CARE CLINIC - PUEBLO |
| Entity Type | Organization |
| Authorized Contact | JANA CONROY Director Of Credentialing 719-584-7300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-12-02 |