Individual
HUGH G HACKLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2965
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191
(702) 653-2965
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9102286
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291462000
—
FL
01
—
P00613664
RAILROAD MEDICARE
FL
Enumeration date
01/31/2007
Last updated
07/21/2022
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