# PIKES PEAK ENDOSCOPY AND SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033292214
- **Authorized official:** SUE M MITCHELL MD (PARTNER)
- **Authorized official phone:** (719) 632-7101

## Contact information

- **Practice address:** 1699 MEDICAL CENTER PT, COLORADO SPRINGS, CO 80907-5700
- **Practice address phone:** (719) 632-7101
- **Practice address fax:** (719) 632-4468
- **Mailing address:** 1699 MEDICAL CENTER PT, COLORADO SPRINGS, CO 80907-5700
- **Mailing address phone:** (719) 632-7101
- **Mailing address fax:** (719) 632-4468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0108 | CO | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 04/28/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04510335 | — | CO |