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Individual

HEIDI YEN HALLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14300 ORCHARD PKWY FL 1, WESTMINSTER, CO 80023-9206
(303) 430-5560
Mailing address
6810 E 132ND PL, THORNTON, CO 80602-8149
(720) 318-3765

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DR.0067176
CO
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
DR.0067176
CO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000183025
CO
Enumeration date
04/01/2020
Last updated
09/26/2024
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