Individual
MS. SARAH BETH HAZELBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3715 PARKMOOR VILLAGE DR STE 102, COLORADO SPRINGS, CO 80917-5200
(812) 381-4515
Mailing address
870 ROBBIE VW APT 438, COLORADO SPRINGS, CO 80920-3293
(812) 381-4515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0007415
CO
Other
Enumeration date
06/10/2022
Last updated
09/20/2022
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