Individual provider · Type 1 NPI

Richard Dean Hacker, P.A.-C

Medical Physician Assistant · Nogales, AZ

NPI number 1255581880 Active

Practice location

298 W Mariposa Rd Ste 2
Nogales, AZ 85621-1089

Fax (520) 394-7387

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1255581880

Richard Dean Hacker, P.A.-C's National Provider Identifier is 1255581880, issued on Sep 18, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Nogales, AZ. The record was last updated on Jan 25, 2021.