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Individual

EDWARD J PIENKOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1010 THREE SPRINGS BLVD STE 270, DURANGO, CO 81301-8296
(970) 764-3845
(970) 764-3823
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
01081847A
IN
208800000X
Urology Physician
Primary
DR.0069785
CO
208800000X
Urology Physician
MD2007-0640
NM
208800000X
Urology Physician
ME98814
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
88435768
NM
Enumeration date
11/22/2005
Last updated
11/14/2022
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