Organization
GERALD A. CICHOCKI, M.D., PC
Active
Organization
GERALD A. CICHOCKI, M.D., PC
Active
Other names
Trinidad Urology Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD ANTHONY CICHOCKI M.D. (PRESIDENT)
(719) 846-2388
Entity
Organization
Contact information
Practice address
328 S BONAVENTURE AVE, SUITE 4, TRINIDAD, CO 81082-2086
(719) 846-2388
(719) 846-7305
Mailing address
PO BOX 831, TRINIDAD, CO 81082-0831
(719) 846-2388
(719) 846-7305
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
43028
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97350818
—
CO
Enumeration date
02/20/2008
Last updated
02/20/2008
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