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NPI Code Detail

MEDICARE: PIKES PEAK ENT

MEDICARE: PIKES PEAK ENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician

General Provider Information

NPI Number : 1467829309
Entity Type Code : Organization
Provider Name (Legal Business Name) : PIKES PEAK ENT
Provider Business Mailing Address
First Line : 2060 BRIARGATE PKWY STE 120
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-7699
Country : US
Telephone Number : 719-301-3800
Fax Number : 719-301-3855
Provider Business Practice Location Address
First Line : 2060 BRIARGATE PKWY STE 120
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-7699
Country : US
Telephone Number : 719-301-3800
Fax Number : 719-301-3855
Authorized Official
Title or Position : MANAGING PARTNER
Name : MICHAEL WILHELM
Credential :
Telephone Number : 719-301-3800
Provider Enumeration Date : 08/26/2015
Last Update Date : 09/02/2025

Similar Medicare Providers

1386632172 — DR. CHRISTOPHER MICHAEL WEBBER M.D.
Practice Location Address:
2060 BRIARGATE PKWY STE 120
COLORADO SPRINGS, CO
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Practice Fax: 719-301-3855
1174739148 — DR. MICHAEL JOSHUA WILHELM MD
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1235321993 — JONATHAN LUKE ARNHOLT M.D.
Practice Location Address:
2060 BRIARGATE PKWY STE 120
COLORADO SPRINGS, CO
80920-7699
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Practice Fax: 719-301-3855
1952571077 — MS. EMILY BANKHEAD FNP-BC
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COLORADO SPRINGS, CO
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Practice Fax: 719-301-3855
1679735609 — MR. KEVIN DANE POTTS AUD
Practice Location Address:
2060 BRIARGATE PKWY STE 120
COLORADO SPRINGS, CO
80920-7699
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1164663233 — JENNIFER LEE WINCHELL PA-C
Practice Location Address:
2060 BRIARGATE PKWY STE 120
COLORADO SPRINGS, CO
80920-7699
Practice Phone: 719-301-3800
Practice Fax: 719-301-3855

Directions to “PIKES PEAK ENT ” Practice Location

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