Individual
CONNOR CHARLES HAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1717 S CALHOUN ST, FORT WAYNE, IN 46802-5257
(260) 458-2641
Mailing address
5407 VANCE AVE, FORT WAYNE, IN 46815-6154
(260) 494-5403
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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