Individual
ZACHARY A HITCHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1107 S LEMAY AVE STE 240, FORT COLLINS, CO 80524-3959
(970) 495-7421
(970) 495-7424
Mailing address
4674 SNOW MESA DR, SUITE 140, FORT COLLINS, CO 80528-8615
(970) 225-5000
(970) 482-9646
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0004787
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
572060YLB8
MEDICARE
CO
05
—
9000145629
—
CO
Enumeration date
11/07/2016
Last updated
07/21/2022
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