Individual
MR. RICHARD D. HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1420 W MIDWAY BLVD, BROOMFIELD, CO 80020-2090
(303) 466-1866
(303) 466-4081
Mailing address
1150 EAGLE RD, BROOMFIELD, CO 80020-1222
(303) 465-4314
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
00356
CO
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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