Provider Demographics
NPI:1427381698
Name:HAYES, RICHARD D (PAC, MPAS)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:D
Last Name:HAYES
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Gender:M
Credentials:PAC, MPAS
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Mailing Address - Street 1:10371 PARK GLENN WAY
Mailing Address - Street 2:STE #100
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138
Mailing Address - Country:US
Mailing Address - Phone:303-841-2905
Mailing Address - Fax:303-841-3052
Practice Address - Street 1:10371 PARK GLENN WAY
Practice Address - Street 2:STE #100
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138
Practice Address - Country:US
Practice Address - Phone:303-841-2905
Practice Address - Fax:303-841-3052
Is Sole Proprietor?:No
Enumeration Date:2009-09-04
Last Update Date:2009-09-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO#1206363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical