Individual
ANN M HAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4140 CENTENNIAL HILLS BLVD, STE A, CASPER, WY 82609-3265
(307) 265-7205
(307) 235-6262
Mailing address
4140 CENTENNIAL HILLS BLVD, STE A, CASPER, WY 82609-3265
(307) 265-7205
(307) 235-6262
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
354
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313835
BCBS
WY
Enumeration date
03/22/2006
Last updated
10/03/2007
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