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Jon W Haney, PA-C
Medical Physician Assistant in Ada, Oklahoma
NPI 1659618197

Jon W Haney is a Medical Physician Assistant based in Tishomingo, OK and is specialized in Medical. Jon W Haney practices in Ada, OK and has the professional credentials of PA-C. The NPI Number for Jon W Haney is 1659618197 and holds a License No. (Oklahoma).

The current practice location address for Jon W Haney is 1921 Stonecipher Dr, Ada, OK and can be reached out via phone at 580-421-4570. You can also correspond with Jon W Haney through the mailing address at 610 E 24TH ST, TISHOMINGO, OK - 73460-3245 (mailing address contact number: 580-272-8266).

Location: 1921 Stonecipher Dr, Ada, OK, 73460-3245
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Provider Profile Details
NPI Number
1659618197
Provider Name
Jon W Haney
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1921 Stonecipher Dr, Ada, OK, 73460-3245
Phone Number
580-421-4570
Fax Number
Provider Enumeration Date
01/03/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2206 01 OK STATE LICENSE
PHS000 01 OK IHS
institution
Provider Business Practice Location Address Details
Address
1921 Stonecipher Dr
City
Ada
State
Zip
74820-3439
Phone Number
580-421-4570
Fax Number
person
Provider Business Mailing Address Details
Address
1921 Stonecipher Dr
City
Ada
State
Zip
74820-3439
Phone Number
580-421-4570
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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