Individual
CAYLON W. HAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
903 S ADAMS ST, RITZVILLE, WA 99169-2227
(096) 591-2005
(509) 659-0632
Mailing address
411 FORTUYN RD, GRAND COULEE, WA 99133-8718
(509) 633-1911
(509) 633-1933
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1787
OK
363A00000X
Physician Assistant
1787
OK
363A00000X
Physician Assistant
Primary
PA61041209
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200234370A
—
OK
05
—
2155035
—
WA
Enumeration date
12/29/2008
Last updated
04/24/2026
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