Individual
RICK D HATERIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907-6819
(719) 776-5000
(719) 448-0767
Mailing address
PO BOX 820, COLORADO SPRINGS, CO 80901-0820
(719) 448-0981
(719) 448-0767
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30851
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01308519
—
CO
01
—
050047266
RAILROAD MEDICARE NUMBER
CO
Enumeration date
03/08/2006
Last updated
03/16/2011
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