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Individual

DR. CALLIANDRA HINTZEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR.0059758
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL0005824
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029391
KAISER COMMERCIAL NUMBER
CO
05
9000137689
CO
Enumeration date
06/16/2015
Last updated
10/17/2022
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