Provider Demographics
NPI:1003357369
Name:BROSS, HAILEY HOLLAND (MD)
Entity type:Individual
Prefix:MRS
First Name:HAILEY
Middle Name:HOLLAND
Last Name:BROSS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:HAILEY
Other - Middle Name:BROOKE
Other - Last Name:HOLLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:ST. ANTHONY NORTH HOSPITAL
Mailing Address - Street 2:14300 ORCHARD PKWY COMMONSPIRIT MEDICAL GROUP HOSPITALI
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80023-9206
Mailing Address - Country:US
Mailing Address - Phone:720-627-3761
Mailing Address - Fax:
Practice Address - Street 1:ST. ANTHONY NORTH HOSPITAL
Practice Address - Street 2:14300 ORCHARD PKWY
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80023-9206
Practice Address - Country:US
Practice Address - Phone:720-627-3761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-19
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0061032208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist