Individual
DR. JOHN PETER HACKETT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4527
(602) 744-4760
(602) 744-4799
Mailing address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4527
(602) 744-4760
(602) 744-4799
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
001386
GA
207L00000X
Anesthesiology Physician
Primary
41440
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
451380
—
AZ
01
—
P00759792
MEDICARE RAILROAD
—
Enumeration date
01/08/2008
Last updated
10/27/2010
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