| NPI | 1477529519 |
|---|---|
| Professional Name | JACK M. HALEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.000735) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 735) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2015-07-31 |