Individual
MS. CAITLIN C HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 515-6296
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5298
AZ
363A00000X
Physician Assistant
MD152931
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
768184
—
AZ
Enumeration date
03/09/2011
Last updated
09/09/2020
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