Individual
THOMAS T HAIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6276 RIVER CREST DR, RIVERSIDE, CA 92507-0754
(951) 413-0200
(951) 653-5161
Mailing address
2357 KNOB HILL DR, RIVERSIDE, CA 92506-3440
(951) 682-3623
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G61537
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G615370
—
CA
05
—
GR0086790
—
CA
Enumeration date
03/29/2006
Last updated
07/09/2007
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