Individual
DR. BRIAN K HAITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM PA
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
12-00272
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22357013
BLUE CROSS BLUE SHIELD
—
05
—
308946508
—
MO
01
—
480032592
RRPTAN
—
Enumeration date
02/24/2006
Last updated
10/28/2021
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