Individual
DR. JASON SCOTT HAUPTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0920
(602) 933-2492
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
60750493
WA
207T00000X
Neurological Surgery Physician
Primary
72029
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972803120
—
WA
Enumeration date
10/21/2010
Last updated
08/20/2024
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