| NPI | 1578308136 |
|---|---|
| Other Name | PARKVIEW MEDICAL GROUP WOUND CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMIE M ESTRADA Credentialing Specialist 719-671-1878 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-28 |