MEDICARE: DRS CLEVELAND & HUTCHISON PC

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
1	208600000X	Surgery Physician	TAX ID	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	110022	OTHER	KS	BC/BS GROUP NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	29683	OTHER	CO	BC/BS GROUP NUMBER
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326058215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS CLEVELAND & HUTCHISON PC

Provider Business Mailing Address
First Line	:	2460 W 26TH AVENUE
Second Line	:	420 C
City	:	DENVER
State	:	CO
Zip	:	80211-5308
Country	:	US
Telephone Number	:	303-480-3565
Fax Number	:	303-480-5066

Provider Business Practice Location Address
First Line	:	2460 W 26TH AVENUE
Second Line	:	420 C
City	:	DENVER
State	:	CO
Zip	:	80211-5308
Country	:	US
Telephone Number	:	303-480-3565
Fax Number	:	303-480-5066

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DAVID D BECK
Credential	:	M.D.
Telephone Number	:	303-480-3565

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	07/21/2022

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Directions to “DRS CLEVELAND & HUTCHISON PC ” Practice Location

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