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Organization

PIKES PEAK PHYSICAL MEDICINE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY P JENKS M.D. (PRESIDENT)
(719) 591-0011
Entity
Organization

Contact information

Practice address
2233 ACADEMY PL, SUITE 200, COLORADO SPRINGS, CO 80909-1696
(719) 591-0011
(719) 591-5540
Mailing address
2233 ACADEMY PL, SUITE 200, COLORADO SPRINGS, CO 80909-1696
(719) 591-0011
(719) 591-5540

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04006086
CO
Enumeration date
09/27/2006
Last updated
07/21/2022
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