Individual
LINDA M HAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
450 S WILLARD ST STE 101, COTTONWOOD, AZ 86326-6744
(928) 284-0166
(928) 284-1810
Mailing address
1146 WEST SOUTH ROUTE 89A, SUITE B1, SEDONA, AZ 86336-5768
(928) 284-0166
(928) 284-1810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3341
AZ
363AM0700X
Medical Physician Assistant
Primary
3341
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361588
—
AZ
Enumeration date
07/30/2006
Last updated
07/18/2022
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