NICHOLAS L HUGENTOBLER PC
Medical Practice at Rivergate, Durango, CO

License number
Colorado POD0000716
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: DR. NICHOLAS L HUGENTOBLER DPM
Title: PRESIDENT
Phone: (970) 259-3154
Address
Address
575 Rivergate SUITE 105, Durango, CO 81301
National Provider ID: 1609129626
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NICHOLAS L HUGENTOBLER, PC

Durango, CO

Industry:
Nonclassifiable Establishments
Registration:
May 20, 2014
Addresses:
575 Rivergate Ln STE 105  , Durango, CO 81301 (Foreign)
575 Rivergate, Durango, CO 81301
State ID:
4910001
Business type:
Foreign Professional Corporation
President:
Nicholas L Hugentobler (President)
Agent:
Zack Gangwer,2300 E 30 St STE B102, Farmington, NM 87401 (Physical)

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