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NPI Code Detail

MEDICARE: EMILY HUTSON PA

MEDICARE: EMILY HUTSON PA
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1144655408
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY HUTSON PA
Provider Business Mailing Address
First Line : 777 BANNOCK ST
Second Line : MC 3240
City : DENVER
State : CO
Zip : 80204-4507
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4995 E 33RD AVE
Second Line :
City : DENVER
State : CO
Zip : 80207-1902
Country : US
Telephone Number : 303-602-3720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2013
Last Update Date : 09/05/2013

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Directions to “ EMILY HUTSON PA” Practice Location

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