NPI | 1831842251 |
---|---|
Doing Business As | PARKVIEW MEDICAL GROUP |
Other Name | SANGRE DE CRISTO SURGICAL ASSOCIATES, PC |
Entity Type | Organization |
Authorized Contact | JANA CONROY Director Of Credentialing 719-545-8240 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 208600000X Surgery |
Enumeration Date | 2022-01-27 |
Last Update Date | 2024-12-02 |