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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK MASON HALEY, PA

Active Sole Proprietor

MARK MASON HALEY, PA is a Physician Assistant healthcare provider located in SAN LUIS OBISPO, California. NPI 1558475699 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SAN LUIS OBISPO, CA

Registration Details

NPI Number
1558475699
Provider Type
Individual
Gender
Male
NPI Issued
Aug 18, 2006 (19.808989316309 yrs)
Last Updated
Mar 12, 2010
License
PA17394 (CA)
Sole Proprietor
Yes

Practice Information

Address
ONE GRAND AVE
SAN LUIS OBISPO, CA, 934070210
Browse CA providers · Browse ZIP 93407
Phone
8057561211
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SAN LUIS OBISPO, CA

Name Credential NPI
ERIC HIXON PA 1841276409
JULIA ELIZABETH DAVISON PA-C 1235116955
MARK J HOLLIS PA C 1902873748
GARY MITCHELL WESTBROCK PA 1053371377
MS. ANNE E BARNETT PA 1811948235
JACQUALINE J. DANCY PA-C 1073558748
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.