Individual
TIMOTHY WILLIAM HAEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
926 E MCDOWELL RD STE 207, PHOENIX, AZ 85006-2508
(602) 258-9859
(480) 214-9945
Mailing address
9097 E DESERT COVE AVE STE 200, SCOTTSDALE, AZ 85260-6280
(480) 273-8503
(480) 214-9929
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
44703
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
654396
—
AZ
Enumeration date
12/21/2005
Last updated
03/05/2020
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