Provider Demographics
NPI:1710973433
Name:HAAS, ROBERT JUNIUS (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:JUNIUS
Last Name:HAAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7444 W ALASKA DR
Mailing Address - Street 2:STE 250
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-3327
Mailing Address - Country:US
Mailing Address - Phone:303-592-7284
Mailing Address - Fax:303-892-0601
Practice Address - Street 1:7444 W ALASKA DR
Practice Address - Street 2:STE 250
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-3327
Practice Address - Country:US
Practice Address - Phone:303-592-7284
Practice Address - Fax:303-892-0601
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2007-11-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO43643207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I38165Medicare UPIN
C66263Medicare PIN
802717Medicare PIN
CP4008Medicare Oscar/Certification