| NPI | 1902172786 |
|---|---|
| Doing Business As | PARKSIDE HEART CARE |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER NORMAN TULIN Owner 719-338-1324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CO 28056) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2013-07-17 |