Individual
MR. DARYL T. HAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
627 25 1/2 ROAD, GRAND JUNCTION, CO 81505-6401
(970) 242-3535
(970) 623-8599
Mailing address
627 25 1/2 ROAD, GRAND JUNCTION, CO 81505-6401
(970) 242-3535
(970) 623-8599
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1361
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05021847
—
CO
05
—
25374826
—
CO
Enumeration date
09/06/2005
Last updated
09/07/2012
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