Individual
DR. ROBERT GREGORY HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
052931
CO
207Q00000X
Family Medicine Physician
4047
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024407
KAISER COMMERCIAL NUMBER
CO
05
—
77504780
—
CO
Enumeration date
07/18/2011
Last updated
06/14/2021
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