Individual
BRUCE L. KAUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2685 DUBLIN BLVD, COLORADO SPRINGS, CO 80918-1358
(719) 592-9890
(719) 264-6808
Mailing address
2685 DUBLIN BLVD, COLORADO SPRINGS, CO 80918-1358
(719) 592-9890
(719) 264-7808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30304
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01303049
—
CO
Enumeration date
11/14/2005
Last updated
05/29/2008
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