Organization
ALFRED C NITKA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE A KURTELA (BILLING/CONTRACTING/CREDENTIALING)
(970) 375-1550
Entity
Organization
Contact information
Practice address
575 RIVERGATE, DURANGO, CO 81301-7487
(970) 375-1550
(970) 259-6555
Mailing address
PO BOX 3153, DURANGO, CO 81302-3153
(970) 375-1550
(970) 259-6555
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25578
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194768093
NPI TYPE 1
—
01
—
25578
CO STATE LICENSE
CO
Enumeration date
08/29/2012
Last updated
08/29/2012
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