Organization
PIKES PEAK ALLERGY & ASTHMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANAEL STEVEN BRADY D.O. (OWNER / PHYSICIAN)
(719) 260-1022
Entity
Organization
Contact information
Practice address
595 CHAPEL HILLS DR, 102, COLORADO SPRINGS, CO 80920-1024
(719) 578-0909
(719) 260-7790
Mailing address
1710 JET STREAM DR STE 105, COLORADO SPRINGS, CO 80921-3937
(719) 260-1022
(719) 260-7790
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83737049
—
CO
Enumeration date
07/09/2006
Last updated
01/27/2025
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