Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 13162 | AZ |
NPI | 1194798868 |
---|---|
Provider Name | Dr. Ronald Odell Hadden |
First Address | Gilbert, AZ 85234-5012 |
Second Address | Gilbert, AZ 85234-5012 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2006 |
Last Update Date | 08/07/2007 |