Mark Mason Haley in San Luis Obispo - Physician Assistant
Mark Mason Haley - NPI 1558475699
Mark Mason Haley is a Physician Assistant in San Luis Obispo, California. Mark Mason Haley practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark Mason Haley is 1558475699. The last update date is 2010-03-12.
Mark Mason Haley's current location address is One Grand Ave, San Luis Obispo, California. You can contact this provider via phone number 8057561211. The mailing address for Mark Mason Haley is One Grand Ave, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Mason Haley |
|---|---|
| Address | One Grand Ave, San Luis Obispo, California |
| Phone Number | 8057561211 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1558475699 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2010-03-12 |
Provider Mailing Address Detail
| Address | One Grand Ave |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 934070210 |
| Phone Number | 8057561211 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA17394 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Mark Mason Haley by the Centers for Medicare & Medicaid Services?
The Mark Mason Haley has been issued the NPI (National Provider Identifier) 1558475699 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Mark Mason Haley is physically located?
The Mark Mason Haley is situated at the following address: One Grand Ave, San Luis Obispo, CA 934070210.
What is Mark Mason Haley's area of expertise and its corresponding taxonomy classification?
The Mark Mason Haley's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1558475699 to Mark Mason Haley?
The Centers for Medicare & Medicaid Services assigned the 1558475699 to Mark Mason Haley on 2006-08-18.
As of what date were the details pertaining to Mark Mason Haley last refreshed?
The information related to the Mark Mason Haley, including its address, specialty, and other relevant details, was last updated on 2010-03-12.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC