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MOUNTAIN PEAKS UROLOGY PC NPI 1467649756


NPI Information

NPI: 1467649756
Provider Name: MOUNTAIN PEAKS UROLOGY PC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 06D1020192

Address:
502 GREENWOOD AVE
CANON CITY, CO
ZIP 81212
Phone: (719) 275-2000
Get Directions

MOUNTAIN PEAKS UROLOGY PC is an urology in Canon City, CO. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. MOUNTAIN PEAKS UROLOGY PC NPI is 1467649756. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

502 GREENWOOD AVE
CANON CITY, CO
ZIP 81212-336
Phone: (719) 275-2000
Fax: (719) 275-3145

The provider's authorized official is Christopher T. Harrigan .
The authorized official title is President and has the following contact phone number (719) 275-2000.

The CLIA number assigned to this NPI record is 06D1020192 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/1/2007 and was last updated on 12/7/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C519848MEDICARE PINCOLORADO
292677029MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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