Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | BP10050542 | TX |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | DO.1700 | AL |
NPI | 1023457454 |
---|---|
Provider Name | Dr. Matthew Hasley |
First Address | Mobile, AL 36607-3514 |
Second Address | Mobile, AL 36607-3514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2013 |
Last Update Date | 06/06/2019 |