# DR. DOUGLAS R HADLEY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1285981621
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 00056620 | MD | Yes |
| 207Q00000X | Family Medicine Physician | 0202045772 | VA | — |
| 207Q00000X | Family Medicine Physician | 156636-1205 | UT | — |

## Other

- **Enumeration date:** 08/03/2012
- **Last updated:** 08/03/2012