Organization
GERALD J PISE, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAT O'HEARN (ADMINISTRATOR)
(719) 633-2022
Entity
Organization
Contact information
Practice address
1644 MEDICAL CENTER PT, COLORADO SPRINGS, CO 80907-5760
(719) 633-2022
(719) 633-9473
Mailing address
1644 MEDICAL CENTER PT, COLORADO SPRINGS, CO 80907-5760
(719) 633-2022
(719) 633-9473
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17300
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01173004
—
CO
Enumeration date
10/05/2010
Last updated
10/05/2010
Update your record
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