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Individual

MR. ERIC MATTHEW HASKELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4227
(970) 384-7090
Mailing address
3231 S RACE ST, ENGLEWOOD, CO 80113-3033
(303) 653-4220

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
PA.0007158
CO
363AS0400X
Surgical Physician Assistant
Primary
PA.0007158
CO

Other

Enumeration date
10/31/2021
Last updated
02/22/2022
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