Provider Demographics
NPI:1538305495
Name:PVMC PHYSICIAN SERVICES, INC
Entity Type:Organization
Organization Name:PVMC PHYSICIAN SERVICES, INC
Other - Org Name:TURNBERRY PLATTE VALLEY CENTER FOR WOMEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY OF CORPORATION
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:DUPPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-498-1601
Mailing Address - Street 1:1606 PRAIRIE CENTER PKWY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-4004
Mailing Address - Country:US
Mailing Address - Phone:303-287-0584
Mailing Address - Fax:303-287-2564
Practice Address - Street 1:12253 E. 104TH PL.
Practice Address - Street 2:UNIT 101
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022
Practice Address - Country:US
Practice Address - Phone:303-287-0584
Practice Address - Fax:303-287-2564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-24
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty