# PIKES PEAK ENT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PIKES PEAK ENT LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861289589
- **Legal business name:** PIKES PEAK ENT LLC
- **Authorized official:** MICHAEL JOSHUA WILHELM MD (PHYSICIAN)
- **Authorized official phone:** (719) 301-3800

## Contact information

- **Practice address:** 509 SCOTT AVE STE 101, WOODLAND PARK, CO 80863-1294
- **Practice address phone:** (719) 301-3800
- **Practice address fax:** (719) 301-3855
- **Mailing address:** 9475 BRIAR VILLAGE PT STE 225, COLORADO SPRINGS, CO 80920-7919
- **Mailing address phone:** (719) 301-3800
- **Mailing address fax:** (719) 301-3855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2025
- **Last updated:** 09/02/2025