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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