Individual
DR. JAMES KEITH HAZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3006 PADDOCK RD APT 16D, OMAHA, NE 68124-2943
(303) 547-7729
Mailing address
3020 PADDOCK RD APT 16D, OMAHA, NE 68124
(303) 547-7729
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9687
NE
246ZC0007X
Surgical Assistant
—
TX
Other
Enumeration date
04/04/2012
Last updated
06/26/2023
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