Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 493 | NC |
NPI | 1013902865 |
---|---|
Provider Name | Alfonso Haro |
First Address | West End, NC 27376-8038 |
Second Address | West End, NC 27376-8038 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2005 |
Last Update Date | 17/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5905877 | (05) | NC |
V05444 | (02) | NC |