Organization
OPTUM PEAK ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA TESKE (LICENSURE ENROLLMENT MANAGER)
(205) 641-3423
Entity
Organization
Contact information
Practice address
1615 MEDICAL CENTER PT, COLORADO SPRINGS, CO 80907-5788
(205) 641-3423
Mailing address
1615 MEDICAL CENTER PT, COLORADO SPRINGS, CO 80907-5788
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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