Individual provider · Type 1 NPI

Ricky William Bretthauer

Physician Assistant · Fort Carson, CO

NPI number 1164575072 Active

Practice location

1853 Oconnell Blvd, Bldg 1042
Fort Carson, CO 80913-4055

Call (719) 524-4670 Map

Mailing address

5510 Whiskey River Dr
Colorado Springs, CO 80922-4110

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1164575072

Ricky William Bretthauer's National Provider Identifier is 1164575072, issued on Jan 22, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Carson, CO. The record was last updated on Jul 8, 2007.