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Individual
ROBERT WESLEY HATHORN
Active
Individual
ROBERT WESLEY HATHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
A49051
CA
208800000X
Urology Physician
Primary
P0064
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BF148X
MEDICARE-PTAN
CA
Enumeration date
05/20/2006
Last updated
12/10/2021
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