Individual
DR. RONALD J HAUPTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9250 N 3RD ST, #2015, PHOENIX, AZ 85020-2437
(602) 279-3575
(602) 279-2666
Mailing address
3020 E CAMELBACK RD, STE 301, PHOENIX, AZ 85016-4418
(602) 264-9100
(602) 264-9101
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21316
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110639
MEDICARE PIN NUMBER FOR N
AZ
05
—
78697301
—
AZ
Enumeration date
06/13/2005
Last updated
10/07/2019
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