Organization
PIKES PEAK FOOT AND ANKLE CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC GESSNER DPM (PHYSICIAN)
(719) 475-8080
Entity
Organization
Contact information
Practice address
455 E PIKES PEAK AVE, SUITE 220, COLORADO SPRINGS, CO 80903-3648
(719) 475-8080
(719) 475-0913
Mailing address
455 E PIKES PEAK AVE, SUITE 220, COLORADO SPRINGS, CO 80903-3648
(719) 475-8080
(719) 475-0913
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04011300
—
CO
01
—
PIA0503
BLUE CROSS BLUE SHELID
CO
Enumeration date
11/02/2007
Last updated
06/29/2011
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