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Individual

TIMOTHY J HUTCHISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(303) 306-7783
(303) 306-7753
Mailing address
PO BOX 912215, DENVER, CO 80291-2215
(303) 306-7783
(303) 306-7753

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
30096
CO
207P00000X
Emergency Medicine Physician
Primary
30096
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01300961
CO
01
930005401
RAILROAD MEDICARE
CO
01
P01244382
RAILROAD MEDICARE PIN
CO
Enumeration date
07/09/2006
Last updated
10/19/2022
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