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Jason P Haack, MD
Otolaryngology/Facial Plastic Surgery Physician in Evanston, Wyoming
NPI 1407832728

Jason P Haack is a Otolaryngology/Facial Plastic Surgery Physician based in Evanston, WY and is specialized in Otolaryngology/Facial Plastic Surgery. Jason P Haack practices in Evanston, WY and has the professional credentials of MD. The NPI Number for Jason P Haack is 1407832728 and holds a License No. 7953A (Wyoming).

The current practice location address for Jason P Haack is 191 Overthrust Rd, Evanston, WY and can be reached out via phone at 307-789-8721 and via fax at 307-789-8664.

Location: 191 Overthrust Rd, Evanston, WY, 82930-9261
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407832728
Provider Name
Jason P Haack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
191 Overthrust Rd, Evanston, WY, 82930-9261
Phone Number
307-789-8721
Fax Number
307-789-8664
Provider Enumeration Date
12/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06329001 01 WY BCBS WY
1407832728 05 WY
433920700 05 MN
institution
Provider Business Practice Location Address Details
Address
191 Overthrust Rd
City
Evanston
State
Wyoming
Zip
82930-9261
Phone Number
307-789-8721
Fax Number
307-789-8664
person
Provider Business Mailing Address Details
Address
191 Overthrust Rd
City
Evanston
State
Wyoming
Zip
82930-9261
Phone Number
307-789-8721
Fax Number
307-789-8664
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
7953A (Wyoming)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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