Healthcare Provider Details
I. General information
NPI: 1659652089
Provider Name (Legal Business Name): AARON QUINN HAIGH D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/30/2011
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
159 EXECUTIVE DR SUITE B
DANVILLE VA
24541-4160
US
IV. Provider business mailing address
159 EXECUTIVE DR SUITE B
DANVILLE VA
24541-4160
US
V. Phone/Fax
- Phone: 434-792-5964
- Fax:
- Phone: 434-792-5964
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 5101017438 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: