Organization
ALLAN B. HATCH, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLAN B HATCH M.D. P.A. (OWNER/PRESIDENT)
(501) 315-4008
Entity
Organization
Contact information
Practice address
1000 HWY 35 NORTH, SUITE 8, BENTON, AR 72019
(501) 315-4008
(501) 315-3411
Mailing address
PO BOX 2860, BENTON, AR 72018
(501) 315-4008
(501) 315-3411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E0963
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114919107
INDIV NPI #
AR
05
—
129524001
—
AR
Enumeration date
03/14/2007
Last updated
06/07/2016
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