Healthcare Provider Details

I. General information

NPI: 1265470454
Provider Name (Legal Business Name): MICHAEL W HUTCHINS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 05/01/2024
Certification Date: 05/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3277 S LINCOLN ST
ENGLEWOOD CO
80113-2512
US

IV. Provider business mailing address

3277 S LINCOLN ST
ENGLEWOOD CO
80113
US

V. Phone/Fax

Practice location:
  • Phone: 303-762-0808
  • Fax: 303-762-9292
Mailing address:
  • Phone: 303-762-0808
  • Fax: 303-762-9292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberDR.0032424
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number32424
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: