OrganizationActive
Cs Cardiology Newco LLC
NPI 1962283887 · Cardiovascular Disease Physician · Canon City, CO
Provider details
- NPI number
- 1962283887
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Cs Cardiology Newco LLC
- Organization subpart
- Yes
- Authorized official
- Erin Petrie, Vp of Rcm(708) 498-4493
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Vascular Surgery Physician2086S0129X
Allopathic & Osteopathic Physicians
Practice location
1338 Phay Ave
Canon City, CO 81212-2311
Phone: (719) 960-0363
Approximate (ZIP-level) locationGet directions
Mailing address
1338 Phay Ave
Canon City, CO 81212-2311
Registry dates
- Enumerated
- 2023-10-06
- Last updated
- 2024-04-04
- Certified
- 2024-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.