NPI 1407832728

Jason P Haack, MD

Practitioner Otolaryngology/Facial Plastic Surgery Physician Evanston, WY

Practice location

Address: 191 Overthrust Rd, Evanston, WY 82930-9261
Phone: (307) 789-8721
Fax: (307) 789-8664

Registered specialties

Otolaryngology/Facial Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0905X Licence 7953A (WY)

Other Otolaryngology providers in Wyoming →

Registry record

NPI: 1407832728
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Dec 2005
Record last updated: 15 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.