Provider Demographics
NPI:1669571477
Name:HAIGHT, ROBERT WARREN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:WARREN
Last Name:HAIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8505 OLD DAIRY RD
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-6921
Mailing Address - Country:US
Mailing Address - Phone:907-790-4111
Mailing Address - Fax:907-790-3111
Practice Address - Street 1:8505 OLD DAIRY RD
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-6921
Practice Address - Country:US
Practice Address - Phone:907-790-4111
Practice Address - Fax:907-790-3111
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK3998207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKK160191OtherMEDICARE #
AKMD97881Medicaid
AKMD97881Medicaid