Individual
DR. TIMOTHY RAY HURTADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2222 N NEVADA AVE, FRONT RANGE EMERGENCY SPECIALISTS, COLORADO SPRINGS, CO 80907-6819
(719) 475-0299
Mailing address
2222 N NEVADA AVE, FRONT RANGE EMERGENCY SPECIALISTS, COLORADO SPRINGS, CO 80907-6819
(719) 475-0299
(719) 475-0414
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
285
NE
207P00000X
Emergency Medicine Physician
Primary
45777
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24525006
—
CO
Enumeration date
10/13/2005
Last updated
11/02/2010
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