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Individual

ZACHARY HAAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
8080 ACADEMY RD NE STE C, ALBUQUERQUE, NM 87111-1159
(505) 247-4164
Mailing address
8080 ACADEMY RD NE STE C, ALBUQUERQUE, NM 87111-1159
(505) 247-4164

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E4696
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
308
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
74621068
NM
Enumeration date
01/10/2007
Last updated
03/08/2010
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