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Individual

MR. HAMPTON BISALSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
13330 DILLON ST, BRIGHTON, CO 80601-7200
(970) 380-0717
(303) 659-9579
Mailing address
13330 DILLON ST, BRIGHTON, CO 80601-7200
(970) 380-0717
(303) 659-9579

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN-129854
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
79982352
CO
Enumeration date
05/12/2006
Last updated
07/16/2010
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