Individual
PHILIP ALAN HAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2871 ACTON RD STE 100, VESTAVIA, AL 35243-2560
(205) 716-6900
(205) 971-5438
Mailing address
3523 ROCKCLIFF CIR, MOUNTAIN BRK, AL 35210-3030
(205) 641-5952
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-568
AL
363AS0400X
Surgical Physician Assistant
PA.568
AL
363AS0400X
Surgical Physician Assistant
PA568
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109941
—
AL
Enumeration date
03/21/2008
Last updated
02/02/2023
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