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PHILLIP ANDREW HASENBALG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-2101
Mailing address
1725 PACIFIC AVE, KINGMAN, AZ 86401-4024
(360) 420-6396

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP61645530
WA

Other

Enumeration date
04/28/2021
Last updated
02/19/2025
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