Individual provider · Type 1 NPI
Mary A. Haller, PA
Medical Physician Assistant · Mc Cook, NE
NPI number
1396769857
Active
Practice location
1401 E H St
Mc Cook, NE 69001-3589
Fax (308) 344-8369
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 02300010101 (NY) |
| Physician Assistant | 363A00000X | 10210 (MN) |
| Medical Physician Assistant Primary | 363AM0700X | 515 (NE) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
Other medical physician assistant providers in Mc Cook
About NPI 1396769857
Mary A. Haller, PA's National Provider Identifier is 1396769857, issued on Jul 27, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mc Cook, NE. The record was last updated on Aug 30, 2013.