Individual
MALLORY HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
516 W 14TH AVE, SUITE 100, HOLDREGE, NE 68949-1215
(308) 995-4431
(308) 995-3247
Mailing address
516 W 14TH AVE, SUITE 100, HOLDREGE, NE 68949-1215
(308) 995-4431
(308) 995-3247
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1132481
NE
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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