Provider Demographics
NPI:1275875973
Name:HAUG, JAMES CLARK (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CLARK
Last Name:HAUG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:22100 BOTHELL EVERETT HWY
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-8431
Mailing Address - Country:US
Mailing Address - Phone:208-416-2932
Mailing Address - Fax:
Practice Address - Street 1:6057 GRIFFIN DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80924-7027
Practice Address - Country:US
Practice Address - Phone:208-416-2932
Practice Address - Fax:855-687-7237
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO00602592085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology