Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canon City OBGYN PC

Organization Obstetrics & Gynecology Physician · NPI 1376686691

Canon City OBGYN PC is an Obstetrics & Gynecology Physician in Canon City, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1335 Phay Ave Ste C
Canon City, CO 81212-2334
Phone: (719) 275-5261
Fax: (719) 275-1687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 30880 (CO)

Record details

NPI number1376686691
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pelham Staples — Owner President · (719) 275-5261
NPI enumeratedFebruary 15, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1335 Phay Ave, Ste C, Canon City, CO 81212-2334

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