Organization
PIKES PEAK CARDIOLOGY A PROFESSIONAL LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MANTIA III (CEO)
(719) 635-7172
Entity
Organization
Contact information
Practice address
1400 E BOULDER ST, SUITE 700, COLORADO SPRINGS, CO 80909-5533
(719) 635-7172
Mailing address
PO BOX 9809, COLORADO SPRINGS, CO 80932-0809
(719) 635-7172
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/01/2005
Last updated
12/04/2007
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