Organization
PIKES PEAK REFLUX AND WEIGHT LOSS SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ANNE UNRUH NP (OWNER)
(719) 650-1519
Entity
Organization
Contact information
Practice address
6965 TUTT BLVD STE 200, COLORADO SPRINGS, CO 80923-3598
(719) 377-3477
(719) 988-9705
Mailing address
PO BOX 3525, MONUMENT, CO 80132-3525
(719) 377-3477
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114996998
JULIE UNRUH NP
—
01
—
1750359642
ROBERT WILCOX MD
—
05
—
9000178991
—
CO
Enumeration date
09/26/2019
Last updated
12/31/2024
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