NPI | 1609561265 |
---|---|
Doing Business As | PARKVIEW MEDICAL GROUP EAR NOSE AND THROAT |
Entity Type | Organization |
Authorized Contact | JAMIE M ESTRADA Credentialing 719-595-7417 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology |
Enumeration Date | 2023-04-10 |
Last Update Date | 2023-04-10 |