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Individual

DR. SEAN M. HANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-3382

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
DR.0046749
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A807870
CA
01
019079
KAISER COMMERCIAL NUMBER
CO
05
61985252
CO
Enumeration date
11/01/2006
Last updated
04/01/2021
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