Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1013282367 |
---|---|
Provider Name | Dr. Darren Wayne Hazen |
First Address | Chandler, AZ 85224-8824 |
Second Address | Chandler, AZ 85224-8824 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2012 |
Last Update Date | 20/03/2012 |