Dirk Thomas Haselow MD, PHD, MS

NPI 1679746622 - Pediatrics - 208000000X

NPI Details
NPI 1679746622
Gender Male
Enumeration Date 04/10/2008
Last Updated 02/27/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
4815 W. MARKHAM STREET, MAILSLOT 48
LITTLE ROCK AR, 72205, US
Phone (501) 661-2169
Fax
Business Location
4815 W. MARKHAM STREET, MAILSLOT 48
LITTLE ROCK AR, 72205, US
Phone (501) 661-2169
Fax
Toxanomy
Taxonomy Code 208000000X
License State Arkansas
License Number E-6705
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According to our database, Dirk Thomas Haselow MD, PHD, MS NPI is 1679746622, taxonomy code is 208000000X and license number is E-6705, license state is located at Arkansas. Dirk Thomas Haselow MD, PHD, MS physically located at 4815 W. Markham Street, Mailslot 48, Little Rock AR, 72205. NPI Number Dirk Thomas Haselow MD, PHD, MS has the Individual type.

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1679746622 NPI number is provided on an as is basis without warranty of any kind. 1679746622 is maintained by the National Plan & Provider Enumeration System. The contents of Dirk Thomas Haselow MD, PHD, MS are for informational purposes only.