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NPI Code Detail

MEDICARE: NANCY HUTNAK D.O.

MEDICARE: NANCY HUTNAK D.O.
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
1207P00000XEmergency Medicine PhysicianDO17673OR

General Provider Information

NPI Number : 1457405359
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY HUTNAK D.O.
Provider Business Mailing Address
First Line : 43207 BROWN RD
Second Line :
City : BAKER CITY
State : OR
Zip : 97814-8229
Country : US
Telephone Number : 541-523-2505
Fax Number :
Provider Business Practice Location Address
First Line : 3325 POCAHONTAS RD
Second Line :
City : BAKER CITY
State : OR
Zip : 97814-1464
Country : US
Telephone Number : 541-523-8105
Fax Number : 541-523-1738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 07/08/2007

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Directions to “ NANCY HUTNAK D.O.” Practice Location

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