Doctor Name: | DR. JOHN MICHAEL HATFIELD |
NPI Number: | 1598092702 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO, DC, MPH |
License Number: | 701 |
Business Practice Address: | 18 Mdg, Kadena Air Base Okinawa, Japan Apo, AP - 963685142 |
Business Phone Number: | 08035190341 |
Business Fax Number: | |
Mailing Address: | Psc 80 Box 14662, APO |
State: | AP |
Postal Code: | 963670049 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/09/2009 |
NPI Last Update Date: | 11/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |