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NPI Code Detail

MEDICARE: NICHOLAS BREITNAUER MD

MEDICARE: NICHOLAS BREITNAUER MD
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
1208000000XPediatrics PhysicianCODR0060751CO
2207R00000XInternal Medicine PhysicianDR.0060751CO

General Provider Information

NPI Number : 1033538848
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS BREITNAUER MD
Provider Business Mailing Address
First Line : 1339 S FEDERAL BLVD
Second Line :
City : DENVER
State : CO
Zip : 80219-4235
Country : US
Telephone Number : 303-602-0002
Fax Number : 303-602-0050
Provider Business Practice Location Address
First Line : 1339 S FEDERAL BLVD
Second Line :
City : DENVER
State : CO
Zip : 80219-4235
Country : US
Telephone Number : 303-602-0002
Fax Number : 303-602-0050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2014
Last Update Date : 05/13/2024

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Directions to “ NICHOLAS BREITNAUER MD” Practice Location

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