SearchArizona101YA0400X

Jonathan Haley

NPI 1215618327 · on the registry since 2023 · sole proprietor

Practice

Address
4577 W Pecos Rd
Laveen, AZ 85339
Phone
(520) 550-6423
Fax
(520) 550-6033
Organisation at this address
Gila River Health Care Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-31

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 Arizona