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Individual

NICK D HATTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19639
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01196393
CO
01
840428757008
ROCKY MOUNTAIN HEALTH PLA
CO
01
HAD23643
BCBS
CO
Enumeration date
07/06/2006
Last updated
03/13/2008
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