Individual
MR. PERRY ALLAN HAUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G85829
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G858290
—
CA
05
—
00G858291
—
CA
01
—
1299310002
SECOND DEMERC PIN
CA
01
—
180040947
RAILROAD MEDICARE PIN
CA
Enumeration date
02/23/2007
Last updated
04/29/2015
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