Organization
PINNACLE PEDIATRICS AND INTERNAL MEDICINE PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER WILSON (OWNER)
(720) 223-6177
Entity
Organization
Contact information
Practice address
13648 ORCHARD PKWY UNIT 900, WESTMINSTER, CO 80023-9263
(816) 590-9456
Mailing address
13648 ORCHARD PKWY UNIT 900, WESTMINSTER, CO 80023-9263
(720) 239-7725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
53133
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27727238
—
CO
Enumeration date
08/08/2017
Last updated
09/12/2025
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