Mr Bradley G Hutton, CRNA | |
1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | |
(719) 365-6999 | |
(719) 365-2837 |
Full Name | Mr Bradley G Hutton |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1400 E Boulder St Ste 2508, Colorado Springs, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1255517181 | NPI | - | NPPES |
Entity Name | Poudre Valley Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
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Mr Bradley G Hutton, CRNA 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071 Ph: (970) 624-4034 | Mr Bradley G Hutton, CRNA 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 Ph: (719) 365-6999 |
Robert A. Rota, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 320 E Fontanero St, Ste 101, Colorado Springs, CO 80907 Phone: 719-227-9711 | |
Audrey Sonin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909 Phone: 719-365-6999 Fax: 719-365-2837 | |
Juana Lopez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909 Phone: 719-365-6999 Fax: 719-365-2837 | |
Blair Beougher, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Colorado Springs, CO 80913 Phone: 719-526-7000 | |
David James Stamps, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6502 Cabana Cir, Colorado Springs, CO 80923 Phone: 719-661-8674 | |
Brent Jon Persons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 630 Southpointe Ct Ste 107, Colorado Springs, CO 80906 Phone: 719-203-6111 Fax: 877-247-9218 | |
Bryan Scott Ferrara, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1650 Cochrane Cir Unit Meddac, Colorado Springs, CO 80913 Phone: 719-526-5231 |