Canon City Obgyn PC
NPI #1376686691 in Canon City, Colorado
Provider Information
- NPI Number
- 1376686691
- Entity Type
- Organization
- Organization Name
- Canon City Obgyn PC
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Feb 15, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1335 PHAY AVE
- Address 2
- STE C
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-2334
- Phone
- (719) 275-5261
Authorized Official
- Name
- DR. PELHAM PORTER STAPLES III, M.D.
- Title
- OWNER PRESIDENT
- Phone
- (719) 275-5261
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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