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NPI Code Detail

MEDICARE: MR. DENNIS HAAG

MEDICARE:  MR. DENNIS  HAAG
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
11835G0303XGeriatric PharmacistS009870AZ

General Provider Information

NPI Number : 1942623293
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DENNIS HAAG
Provider Business Mailing Address
First Line : PO BOX 11058
Second Line :
City : GLENDALE
State : AZ
Zip : 85318-1058
Country : US
Telephone Number : 623-915-2639
Fax Number :
Provider Business Practice Location Address
First Line : 7450 W GLENDALE AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85303-3000
Country : US
Telephone Number : 623-915-2639
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2014
Last Update Date : 01/22/2014

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Directions to “ MR. DENNIS HAAG ” Practice Location

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