Pikes Peak Nephrology Associates PC
Internal Medicine, Nephrology in Colorado Springs, CO. Organization (NPI-2).
NPI number1154921906
StatusActive
Last updated in NPPESOct 30, 2020
Details
- NPI
- 1154921906
- Entity type
- Organization (NPI-2)
- Legal business name
- Pikes Peak Nephrology Associates PC
- Organization subpart
- No
- Enumeration date
- Oct 30, 2020
- Certification date
- Oct 27, 2020
- Last updated
- Oct 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | – | – | Yes |
Practice location
1400 E Boulder StColorado Springs, CO 80909-5533
Phone 719-365-5000
Mailing address
1914 Lelaray StColorado Springs, CO 80909-2800
Phone 719-632-7641 · Fax 719-632-2925
Authorized official
Jeanine I Pittman
Practice Administrator
7196327641
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