Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 0101049392 | VA |
NPI | 1275501371 |
---|---|
Provider Name | Dr. Michael W Hasz |
First Address | Reston, VA 20190-5905 |
Second Address | Reston, VA 20190-5905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 27/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G14915 | (02) | VA |