SearchNorth CarolinaSurgical Physician Assistant

Jonathan Haller, DSC, PA-C

NPI 1164720686 · on the registry since 2011

Practice

Address
2817 Rock Merritt Ave
Fort Bragg, NC 28310
Phone
(910) 907-8922
Clinicians at this address
758

Additional practice sites

  • 9040 Jackson Ave, Tacoma, WA

Registry record

Primary taxonomy
Surgical Physician Assistant
363AS0400X
Also registered as
Medical Physician Assistant
Physician Assistant
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-04

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 North Carolina