# PIKES PEAK CENTER FOR COLON & RECTAL SURGERY

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

## Provider details

- **NPI number:** 1285795567
- **Authorized official:** WILLIAM G. RUDOLPH M.D. (OWNER)
- **Authorized official phone:** (719) 635-0454

## Contact information

- **Practice address:** 559 EAST PIKES PEAK AVE, SUITE \#300, COLORADO SPRINGS, CO 80903
- **Practice address phone:** (719) 635-0454
- **Practice address fax:** (719) 473-3476
- **Mailing address:** 559 EAST PIKES PEAK AVE, SUITE \#300, COLORADO SPRINGS, CO 80903
- **Mailing address phone:** (719) 635-0454
- **Mailing address fax:** (719) 473-3476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | 42378 | CO | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 08/22/2020