Organization
PIKES PEAK UROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A WALSH MD (PRESIDENT)
(719) 531-7007
Entity
Organization
Contact information
Practice address
6071 E WOODMEN RD, SUITE 300, COLORADO SPRINGS, CO 80923-2607
(719) 531-7007
(719) 531-7122
Mailing address
6071 E WOODMEN RD, SUITE 300, COLORADO SPRINGS, CO 80923-2607
(719) 531-7007
(719) 531-7122
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04009601
—
CO
01
—
28165
BC
—
01
—
CG0844
RAILROAD MEDICARE
—
Enumeration date
10/10/2006
Last updated
01/27/2009
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