Individual
ALAN JOSEPH HATHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2637 MIDPOINT DR STE B, FORT COLLINS, CO 80525-4408
(970) 488-1666
(970) 472-9381
Mailing address
2637 MIDPOINT DR STE B, FORT COLLINS, CO 80525-4408
(970) 488-1666
(970) 472-9381
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0056304
CO
208M00000X
Hospitalist Physician
Primary
DR.0056304
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08187553
—
MS
05
—
2146777
—
LA
Enumeration date
04/01/2010
Last updated
11/01/2019
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