Tom David Hazel is a Family in Ashland, Oregon. Tom David Hazel practices all healthcare services and medical treatments related to Family. The NPI Number for Tom David Hazel is 1316944754. The last update date is 2008-05-06.
Tom David Hazel's current location address is 280 Maple St, Ashland, Oregon. You can contact this provider via phone number 5412014800 and fax number 5412014815. The mailing address for Tom David Hazel is 280 Maple St, Ashland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tom David Hazel |
|---|---|
| Address | 280 Maple St, Ashland, Oregon |
| Phone Number | 5412014800 |
| Fax Number | 5412014815 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1316944754 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2008-05-06 |
Provider Mailing Address Detail
| Address | 280 Maple St |
|---|---|
| City | Ashland |
| State | Oregon (OR) |
| Post Code | 975201552 |
| Phone Number | 5412014800 |
| Fax Number | 5412014815 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 83042659 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32842 | OR | -- | |
| 136114 | OR | -- |
Post Comment/ Review Below
What is the Tom David Hazel's 1316944754?
The Tom David Hazel's NPI (National Provider Identifier) Number is 1316944754. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tom David Hazel?
The Tom David Hazel is physically situated at 280 Maple St, in the city of Ashland, state of OR, with the postal code 975201552.
What is the Tom David Hazel's specialty and taxonomy code?
The Tom David Hazel's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date was the 1316944754 assigned to Tom David Hazel?
The Tom David Hazel was issued its 1316944754 on 2005-06-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tom David Hazel most recently updated?
The details pertaining to the Tom David Hazel, including its address, specialty, and other relevant information, were last refreshed on 2008-05-06.