Organization
HUE N VO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TEDDI JOLENE LOUISE HUTSON MA (MEDICAL ASSISTANT)
(303) 935-7870
Entity
Organization
Contact information
Practice address
2200 S FEDERAL BLVD SUITE 1, DENVER, CO 80219-5472
(303) 935-7870
Mailing address
2200 S FEDERAL BLVD SUITE 1, DENVER, CO 80219-5472
(303) 935-7870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30405
CO
207Q00000X
Family Medicine Physician
39143
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22923756
—
CO
Enumeration date
04/25/2007
Last updated
05/06/2008
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