Rocky Mountain Vein Institute Pllc

NPI 1144547191 - Radiology - 2085U0001X

NPI Details
NPI 1144547191
Enumeration Date 04/30/2010
Last Updated 04/30/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name GORDON FABING GORDON
Position OWNER/PROVIDER
Phone (719) 543-8346
Fax (719) 545-1829
Practice Location
1619 N GREENWOOD ST
SUITE 308
PUEBLO CO, 81003-2644, US
Phone (719) 543-8346
Fax (719) 545-1829
Business Location
1619 N GREENWOOD ST
SUITE 308
PUEBLO CO, 81003-2644, US
Phone (719) 543-8346
Fax (719) 545-1829
Toxanomy
Taxonomy Code 2085U0001X
License State Colorado
License Number 45004
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According to our database, Rocky Mountain Vein Institute Pllc NPI is 1144547191, taxonomy code is 2085U0001X and license number is 45004, license state is located at Colorado. Rocky Mountain Vein Institute Pllc physically located at 1619 N Greenwood St, Pueblo CO, 81003-2644. NPI Number 1033115704 has the healthcare provider type.

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1144547191 NPI number is provided on an as is basis without warranty of any kind. 1144547191 is maintained by the National Plan & Provider Enumeration System. The contents of Rocky Mountain Vein Institute Pllc are for informational purposes only.