Individual
SAMIR HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3333 S BANNOCK ST, ENGLEWOOD, CO 80110-2432
(720) 677-5649
Mailing address
3333 S BANNOCK ST STE 150, ENGLEWOOD, CO 80110-2514
(720) 677-5649
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
301986
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
65914
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2014
Last updated
05/12/2023
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