Provider Demographics
NPI:1285098293
Name:HALE, SETH ALLEN (MD)
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:ALLEN
Last Name:HALE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3300 S PARKER RD STE 404
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3529
Mailing Address - Country:US
Mailing Address - Phone:303-699-6200
Mailing Address - Fax:303-766-6903
Practice Address - Street 1:5657 S HIMALAYA ST STE 100
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80015
Practice Address - Country:US
Practice Address - Phone:303-699-6200
Practice Address - Fax:303-766-6903
Is Sole Proprietor?:No
Enumeration Date:2016-04-06
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0062769208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics