Organization
PIKES PEAK MEDICAL SUPPLIES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELL MONIQUE RIDDLE (OWNER)
(719) 313-9649
Entity
Organization
Contact information
Practice address
1352 N ACADEMY BLVD, COLORADO SPRINGS, CO 80909-3314
(719) 313-9649
(719) 313-9689
Mailing address
4942 DURASNO TER, COLORADO SPRINGS, CO 80911-1229
(719) 290-4379
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376054684
NPI
CO
Enumeration date
10/13/2017
Last updated
10/23/2019
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