Individual
MARK B HAZUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 N NEVADA AVE STE CC101, COLORADO SPRINGS, CO 80907
(719) 776-5281
(719) 776-2525
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
14214
NV
2085R0001X
Radiation Oncology Physician
Primary
26111
CO
2085R0001X
Radiation Oncology Physician
MC-0086
ID
2085R0001X
Radiation Oncology Physician
MD2014-0165
NM
Other
Enumeration date
01/19/2006
Last updated
11/19/2024
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