Organization
PIKES PEAK MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE N VIALPANDO (MANAGING MEMBER/ OWNER)
(719) 290-4379
Entity
Organization
Contact information
Practice address
1304 N ACADEMY BLVD STE 102, COLORADO SPRINGS, CO 80909-3318
(719) 290-4379
Mailing address
1304 N ACADEMY BLVD STE 102, COLORADO SPRINGS, CO 80909-3318
(719) 290-4379
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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