Healthcare Provider Details

I. General information

NPI: 1316321706
Provider Name (Legal Business Name): HAYLEY MARIE GARCIA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2015
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2997 BROADMOOR VALLEY RD STE 101
COLORADO SPRINGS CO
80906-4405
US

IV. Provider business mailing address

817 SKYWAY BLVD
COLORADO SPRINGS CO
80905-7746
US

V. Phone/Fax

Practice location:
  • Phone: 719-355-7333
  • Fax:
Mailing address:
  • Phone: 970-691-0870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: