Healthcare Provider Details

I. General information

NPI: 1326058215
Provider Name (Legal Business Name): DRS CLEVELAND & HUTCHISON PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2460 W 26TH AVENUE 420 C
DENVER CO
80211-5308
US

IV. Provider business mailing address

2460 W 26TH AVENUE 420 C
DENVER CO
80211-5308
US

V. Phone/Fax

Practice location:
  • Phone: 303-480-3565
  • Fax: 303-480-5066
Mailing address:
  • Phone: 303-480-3565
  • Fax: 303-480-5066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberTAX ID
License Number StateCO

VIII. Authorized Official

Name: DAVID D BECK
Title or Position: VICE PRESIDENT
Credential: M.D.
Phone: 303-480-3565