Amber Ann Hackenberg, PA-C

NPI #1326357070 in Eagle, Idaho

Provider Information

NPI Number
1326357070
Entity Type
Individual
Name
Amber Ann Hackenberg, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Sep 29, 2010
Last Updated
Feb 15, 2018

Practice Location

Address
323 E RIVERSIDE DRIVE
Address 2
STE 224
City
Eagle
State
Idaho
ZIP Code
83616
Phone
(208) 302-6000

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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