Individual
MR. ANDREW A LOPTIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4000
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA 0990715
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57005877
—
CO
01
—
P01208992
RR MEDICARE
CO
Enumeration date
02/08/2013
Last updated
05/01/2017
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