MEDICARE: MS. ALLISON HILTZIK

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
1	363A00000X	Physician Assistant	PA.0007027	CO

General Provider Information

NPI Number	:	1477227288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALLISON HILTZIK

Provider Business Mailing Address
First Line	:	1525 RALEIGH ST STE 500
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-1594
Country	:	US
Telephone Number	:	303-872-1735
Fax Number	:

Provider Business Practice Location Address
First Line	:	9135 S RIDGELINE BLVD
Second Line	:	STE 160
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-4113
Country	:	US
Telephone Number	:	719-540-2146
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2021
Last Update Date	:	04/10/2025

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