Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JUSTIN C HAZEN, PA-C
Active Sole ProprietorMR. JUSTIN C HAZEN, PA-C is a Physician Assistant healthcare provider located in SHOW LOW, Arizona. NPI 1114363603 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SHOW LOW, AZ
Registration Details
- NPI Number
- 1114363603
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2013 (13.076526619656 yrs)
- Last Updated
- May 11, 2013
- License
-
5400 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2200 E SHOW LOW LAKE RDSHOW LOW, AZ, 859017831Browse AZ providers · Browse ZIP 85901
- Phone
- 9285374375
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SHOW LOW, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. ERIC OLSON | PA | 1083677876 |
| JOSHUA DAVID LYON | PA-C | 1992996060 |
| MR. JOSHUA STEVEN FOWLER | PA-C | 1477836203 |
| DEVIN LANE PORTER | P.A.-C | 1992144943 |
| QUEZIA HALL | PA | 1073985651 |
| CHRISTOPHER JORDAN FLAKE | PA-C | 1699125112 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.