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Organization
PIKES PEAK ENDOSCOPY AND SURGERY CENTER, LLC
Active
Organization
PIKES PEAK ENDOSCOPY AND SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE M MITCHELL MD (PARTNER)
(719) 632-7101
Entity
Organization
Contact information
Practice address
1699 MEDICAL CENTER PT, COLORADO SPRINGS, CO 80907-5700
(719) 632-7101
(719) 632-4468
Mailing address
1699 MEDICAL CENTER PT, COLORADO SPRINGS, CO 80907-5700
(719) 632-7101
(719) 632-4468
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0108
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04510335
—
CO
Enumeration date
10/23/2006
Last updated
04/28/2014
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