# NEWCO HATFIELD MEDICAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578125233
- **Authorized official:** DR. DAVID E HATFIELD D.O. (MEMBER-OWNER)
- **Authorized official phone:** (480) 444-2017

## Contact information

- **Practice address:** 595 N DOBSON RD STE D65, CHANDLER, AZ 85224-4234
- **Practice address phone:** (480) 718-1300
- **Practice address fax:** (480) 718-1301
- **Mailing address:** PO BOX 7060, CHANDLER, AZ 85246-7060
- **Mailing address phone:** (414) 975-3236
- **Mailing address fax:** (480) 718-1301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 07/02/2019
- **Last updated:** 10/15/2019