MR. Ricky William Bretthauer

NPI #1164575072 in Ft Carson, Colorado

Provider Information

NPI Number
1164575072
Entity Type
Individual
Name
MR. Ricky William Bretthauer
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Jan 22, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1853 OCONNELL BLVD
Address 2
BLDG 1042
ZIP Code
80913-4055
Phone
(719) 524-4670

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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