Individual
MR. RICHARD DEAN HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
298 W MARIPOSA RD STE 2, NOGALES, AZ 85621-1089
(520) 394-7388
(520) 394-7387
Mailing address
298 W MARIPOSA RD STE 2, NOGALES, AZ 85621-1089
(520) 394-7388
(520) 394-7387
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/18/2008
Last updated
01/25/2021
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