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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RICKY WILLIAM BRETTHAUER

Active

Physician Assistant · FT CARSON, CO

Registration Details

NPI Number
1164575072
Provider Type
Individual
Gender
Male
NPI Issued
Jan 22, 2007 (19.258076092563 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
1853 OCONNELL BLVD
BLDG 1042
FT CARSON, CO, 809134055
Browse CO providers · Browse ZIP 80913
Phone
7195244670
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FT CARSON, CO

Name Credential NPI
ANDREW ROBERT AUSTIN PA-C 1366464877
PETER J CARROLL PA 1134138878
MS. AMY L JACKSON P.A. 1457426942
CINDI SCHULER PA 1053486647
MR. PAUL JOHN RUCHALSKI JR. PA-C 1902948656
TANIA BERRIOS PA-C 1437350105
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.