Haugland, Gordon

Haugland, Gordon is an individual health care provider with primary practice located at 5605 W Eugie Ave Ste 110 , Glendale AZ 85304-1273. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Haugland, Gordon can be contacted via phone (623) 847-2000.

Contact Information

Primary practice address
5605 W Eugie Ave Ste 110 Glendale AZ 85304-1273
Phone: (623) 847-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 33255 Arizona
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 33255 Arizona

Profile Details

NPI number 1508834466
LBN Legal business name Haugland, Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Feb 14th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508834466 NPPES
Arizona MEDICAID 886616
Arizona Other AZ0765710
Arizona Other 1Z7135

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