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Justin Hadaller
NPI 1134521909 · on the registry since 2014
Practice
- Address
- 475 Bruce St
Yreka, CA 96097 - Phone
- (530) 842-4121
- Fax
- (530) 841-0913
- Organisation at this address
- Siskiyou Hospital Inc
Fairchild Medical Group
Fairchild Medical ClinicInferred from a shared address, not stated in the registry. - Clinicians at this address
- 45
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
Surgical Physician Assistant - Licence states on file
- WA, OR, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California