Provider Demographics
NPI:1720060486
Name:HUZIJ, TEODOR JOHN (DO)
Entity Type:Individual
Prefix:DR
First Name:TEODOR
Middle Name:JOHN
Last Name:HUZIJ
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:14960 WOODCARVER RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-2370
Mailing Address - Country:US
Mailing Address - Phone:719-694-2542
Mailing Address - Fax:
Practice Address - Street 1:14960 WOODCARVER RD
Practice Address - Street 2:SUITE 101
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-2370
Practice Address - Country:US
Practice Address - Phone:719-694-2542
Practice Address - Fax:719-694-2542
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2016-10-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO49211204D00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM