Dr. Derek Von Haag
Cardiothoracic Vascular Surgeon
4892 N Stone Ave Suite 100
Tucson
, Arizona 85704-5761
Dr. Derek Von Haag
Cardiothoracic Vascular Surgeon
4892 N Stone Ave Suite 100
Tucson
, Arizona 85704-5761
(520) 396-1375
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Derek Von Haag
- 2202 N Forbes Blvd
- Tucson, AZ
- Zip : 85745-1412
- Fax : (520) 396-1375
- Phone : (520) 396-1370
Second Address
- Dr. Derek Von Haag
- 4892 N Stone Ave Suite 100
- Tucson, AZ
- Zip : 85704-5761
- Fax : (520) 396-1375
- Phone : (520) 396-1370
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 32835 | AZ |
National Provider Identifier
| NPI | 1073507026 |
|---|---|
| Provider Name | Dr. Derek Von Haag |
| First Address | Tucson, AZ 85745-1412 |
| Second Address | Tucson, AZ 85704-5761 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/09/2005 |
| Last Update Date | 10/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 867898 | (05) | AZ |
| H55220 | (02) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.