Individual
JASON LEE HAUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
530 N ESTRELLA PKWY, SUITE C-1, GOODYEAR, AZ 85338
(623) 932-9211
(623) 932-9210
Mailing address
530 N ESTRELLA PKWY, SUITE C-1, GOODYEAR, AZ 85338
(623) 932-9211
(623) 932-9210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/29/2011
Last updated
08/20/2021
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