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Search › Arizona › 122300000X

Jacob Haslem, DDS

NPI 1922237379 · on the registry since 2009

Practice

Address
167 N Main Street
Tuba City, AZ 86045
Phone
(801) 318-7475
Fax
(866) 667-3006
Organisation at this address
Prescott Vamc
Tcrhcc Mobile Healthcare Van System (2)
Tuba City Regional Healthcare Corporation
Tuba City Regional Health Care Corporation
Tuba City Regional Health Care Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
910

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-07-07

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