# PCIM

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

## Provider details

- **NPI number:** 1720627011
- **Authorized official:** WILLIAM DENAM DO (DO & OWNER)
- **Authorized official phone:** (719) 491-1616

## Contact information

- **Practice address:** 421 S TEJON ST STE 120, COLORADO SPRINGS, CO 80903-2139
- **Practice address phone:** (719) 491-1616
- **Practice address fax:** (719) 591-0835
- **Mailing address:** 1332 N WEBER ST, COLORADO SPRINGS, CO 80903-2428
- **Mailing address phone:** (719) 491-1616
- **Mailing address fax:** (719) 591-0835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/03/2020
- **Last updated:** 10/22/2021