Healthcare Provider Details

I. General information

NPI: 1962874743
Provider Name (Legal Business Name): MARGARET DAUME HALE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET ELIZABETH DAUME PA-C

II. Dates (important events)

Enumeration Date: 10/20/2015
Last Update Date: 11/27/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 28TH ST
DENVER CO
80205
US

IV. Provider business mailing address

501 28TH ST
DENVER CO
80205-3003
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-6333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA10368
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0005825
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: