Organization
NICHOLAS L HUGENTOBLER PC
Active
Parent organization
NICHOLAS L HUGENTOBLER, PC
Other names
Animas Foot & Ankle
Organization subpart
Yes
Provider details
NPI number
Legal business name
NICHOLAS L HUGENTOBLER, PC
Authorized official
ROBIN STEVENSON (CREDENTIALING SPECIALIST)
(480) 832-1546
Entity
Organization
Contact information
Practice address
1440 BOISE AVE, LOVELAND, CO 80538-4214
(970) 278-1440
(970) 776-8067
Mailing address
575 RIVERGATE UNIT 105, DURANGO, CO 81301-7490
(970) 259-3154
(970) 828-1666
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
14691
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91853052
—
CO
Enumeration date
06/01/2018
Last updated
06/01/2018
Update your record
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