Individual
ALAN JACOB HISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11600 W 2ND PL, LAKEWOOD, CO 80228-1527
(303) 854-9888
Mailing address
1819 DENVER WEST DR, SUITE 101, LAKEWOOD, CO 80401-3172
(303) 854-9888
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
DR.0067655
CO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
DR.0067655
CO
Other
Enumeration date
06/09/2016
Last updated
04/19/2022
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