Individual
GARY R HAMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
Mailing address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1205
CO
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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