Individual
JAY G HACKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, 4200 E. 9TH AVE., DENVER, CO 80262-0001
(303) 315-7424
Mailing address
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, 4200 E. 9TH AVE., DENVER, CO 80262-0001
(303) 315-7424
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101247679
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2007
Last updated
02/19/2015
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