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NPI Code Detail

MEDICARE: SUZANNE HAAG PAC

MEDICARE:   SUZANNE  HAAG  PAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA0002471CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558327981
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE HAAG PAC
Provider Business Mailing Address
First Line : 1805 SHEA CENTER DR STE 301
Second Line :
City : HIGHLANDS RANCH
State : CO
Zip : 80129-2277
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8200 E BELLEVIEW AVE STE 202C
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-2805
Country : US
Telephone Number : 303-357-2551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 11/20/2025

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Directions to “ SUZANNE HAAG PAC” Practice Location

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