Individual
PAUL S HIRATZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2410 W 16TH ST, GREELEY, CO 80634-6004
(970) 352-6353
(970) 356-2264
Mailing address
2410 W 16TH ST, GREELEY, CO 80634-6004
(970) 352-6353
(970) 356-2264
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23023
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002840592369
PACIFICARE
CO
05
—
01230234
—
CO
01
—
10384520
CAQH
CO
01
—
840592369002
ROCKY MTN HEALTH
CO
01
—
HI98928
BCBS
CO
Enumeration date
09/13/2005
Last updated
06/21/2011
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