Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 26117 | CO |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 26117 | CO |
NPI | 1689652554 |
---|---|
Provider Name | Dr. Brett P Hunter |
First Address | Greeley, CO 80631-5114 |
Second Address | Greeley, CO 80631-5114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2006 |
Last Update Date | 01/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01261171 | (05) | CO |
D24752 | (02) | CO |
P00931187 | MEDICARE RAILROAD CARRIER PTAN (01) | CO |