Individual provider · Type 1 NPI
Michael Ray Haskell, PA-C
Medical Physician Assistant · Driggs, ID
NPI number
1457794083
Active
Practice location
120 East Howard Avenue, Teton Valley Health Care
Driggs, ID 83422-5112
Fax (208) 354-3158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 576 (WY) |
| Surgical Physician Assistant | 363AS0400X | 576 (WY) |
Medical Physician Assistant: Definition to come...
5 other providers at this address
- Teton Valley Hospital & SurgicenterCritical Access Hospital Driggs, ID NPI 1710959184
- Teton Valley Hospital & SurgicenterCritical Access Hospital Driggs, ID NPI 1962664029
- Anne Marie Omalley-Neuhaus, N.P.Emergency Medicine Physician Driggs, ID NPI 1447455217
- David A. Saurman, PA-CMedical Physician Assistant Driggs, ID NPI 1821031998
- Taylor Keller Nelson, CRNACertified Registered Nurse Anesthetist Driggs, ID NPI 1184863219
Other medical physician assistant providers in Driggs
About NPI 1457794083
Michael Ray Haskell, PA-C's National Provider Identifier is 1457794083, issued on Apr 13, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Driggs, ID. The record was last updated on Dec 14, 2016.