Basic Information
Provider Information
NPI: 1407953516
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HATCH
FirstName: HARVEY
MiddleName: R
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 629
Address2:  
City: OGDEN
State: UT
PostalCode: 844020629
CountryCode: US
TelephoneNumber: 8016216671
FaxNumber: 8016276679
Practice Location
Address1: 2910 WASHINGTON BLVD
Address2: SUITE 310
City: OGDEN
State: UT
PostalCode: 844013751
CountryCode: US
TelephoneNumber: 8016216671
FaxNumber: 8016276679
Other Information
ProviderEnumerationDate: 09/20/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X1561471205UTY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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