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1174606602
MARK S HACKMAN
PHOENIX, AZ
NPI
1174606602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: AZ 34493)
Enumeration Date
2006-10-20
Last Update Date
2007-07-08
Business Address
-- MARK S HACKMAN MD
525 N 18TH STREET SUITE 302
PHOENIX, AZ 85006-4102
Phone number: 602-257-0200
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Mailing Address
-- MARK S HACKMAN MD
10777 W TWAIN AVENUE SUITE 225
LAS VEGAS, NV 89135
Phone number: 702-839-0946
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