Basic Information
Provider Information
NPI: 1003002890
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAMMAN
FirstName: DANIEL
MiddleName: R
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1606 PRAIRIE CENTER PKWY
Address2: SUITE 170
City: BRIGHTON
State: CO
PostalCode: 806014004
CountryCode: US
TelephoneNumber: 3034981885
FaxNumber: 3034981884
Practice Location
Address1: 1606 PRAIRIE CENTER PKWY
Address2: SUITE 170
City: BRIGHTON
State: CO
PostalCode: 806014004
CountryCode: US
TelephoneNumber: 3034981885
FaxNumber: 3034981884
Other Information
ProviderEnumerationDate: 09/14/2007
LastUpdateDate: 11/14/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X47584COY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207X00000XA92434CAN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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