Healthcare Provider Details

I. General information

NPI: 1447418744
Provider Name (Legal Business Name): MICHAEL J HAWES MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2008
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 E HARVARD AVE #345
DENVER CO
80210-5073
US

IV. Provider business mailing address

850 E HARVARD AVE #345
DENVER CO
80210-5073
US

V. Phone/Fax

Practice location:
  • Phone: 303-698-2424
  • Fax: 303-698-2430
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number20179
License Number StateCO

VIII. Authorized Official

Name: DR. MICHAEL J HAWES
Title or Position: OWNER
Credential: M.D.,F.A.C.S.
Phone: 303-698-2424