Individual
HALEY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
MA060843
PA
363AM0700X
Medical Physician Assistant
Primary
PA.0007271
CO
Other
Enumeration date
08/08/2019
Last updated
10/30/2022
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