Individual
HAYLEY ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
875 W 136TH AVE, BROOMFIELD, CO 80023-9303
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
DR.0066702
CO
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
DR.0066702
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
03/23/2016
Last updated
09/07/2022
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