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Contact Information

BRYAN T NOLT, MD
1619 N GREENWOOD ST
SUITE 103
PUEBLO, CO81003-2644
 Phone: 719-542-2167
 Fax: 719-542-0320
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Ultrasound

2085U0001X
Indicates primary specialty

NPI Profile & details for BRYAN T NOLT · (Male)

NPI # 1881640688
Status Active
Credentials MD
Entity Individual
Enumeration date 05/25/2006
Last updated 04/17/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 41232
  • CO Medicaid 61623334
Hospital affiliation(s)
  • PARKVIEW MEDICAL CENTER INC - (Acute Care)
    400 W 16TH STREET
    PUEBLO, CO 81003
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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