Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | POD-000890 | AZ |
NPI | 1003295643 |
---|---|
Provider Name | Dr. David Charles Hatch JR. |
First Address | Tucson, AZ 85710-1149 |
Second Address | Tucson, AZ 85710-1134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2015 |
Last Update Date | 24/09/2021 |