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Individual

DR. NICOLE MARIA-PHYLLIS HAUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
151 W 7TH AVE, SUITE 100, EUGENE, OR 97401-1100
(541) 682-3550
Mailing address
151 W 7TH AVE, SUITE 100, EUGENE, OR 97401-1100
(541) 682-3550

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M5217
TX
208000000X
Pediatrics Physician
Primary
MD150739
OR

Other

Enumeration date
12/04/2006
Last updated
05/04/2010
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