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Individual

PETER T PRUTCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
2121 S ONEIDA ST, 248, DENVER, CO 80224-2549
(303) 504-0600
(303) 504-0601
Mailing address
2121 S ONEIDA ST, 248, DENVER, CO 80224-2549
(303) 504-0600
(303) 504-0601

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
70254
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
1906
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
15883825
CO
Enumeration date
05/31/2006
Last updated
06/04/2014
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