Pvmc Physician Services, INC

NPI #1538305495 in Commerce City, Colorado

Provider Information

NPI Number: 1538305495
Entity Type: Organization
Organization Name: Pvmc Physician Services, INC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Dec 24, 2008
Last Updated: Apr 6, 2009

Practice Location

Address: 12253 E. 104TH PL.
Address 2: UNIT 101
City: Commerce City
State: Colorado
ZIP Code: 80022
Phone: (303) 287-0584

Authorized Official

Name: HAROLD DUPPER
Title: SECRETARY OF CORPORATION
Phone: (303) 498-1601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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