Individual
DR. WILLIAM ANDREW HAUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PIMC-4212 N 16TH STREET, PHOENIX, AZ 85016-5319
(602) 263-1200
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34744
AZ
208000000X
Pediatrics Physician
A80164
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162542
—
AZ
01
—
AZ0913020
BLUECROSS BLUE SHIELD
AZ
Enumeration date
12/15/2005
Last updated
04/22/2019
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