Individual
NATHAN C HAWKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(800) 731-1394
Mailing address
1618 TUCKER LN, ENCINITAS, CA 92024-2924
(760) 436-6007
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD61036369
WA
208D00000X
General Practice Physician
01062671A
IN
Other
Enumeration date
11/07/2006
Last updated
01/04/2022
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