Jason P Haack, M.D.

NPI #1407832728 in Evanston, Wyoming

Provider Information

NPI Number: 1407832728
Entity Type: Individual
Name: Jason P Haack, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology - Otolaryngology/Facial Plastic Surgery
Credential: M.D.
Enumeration Date: Dec 19, 2005
Last Updated: Mar 15, 2017

Practice Location

Address: 191 OVERTHRUST RD
City: Evanston
State: Wyoming
ZIP Code: 82930-9261
Phone: (307) 789-8721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology - Otolaryngology/Facial Plastic Surgery — Otolaryngology/Facial Plastic Surgery	207YX0905X	Primary

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