Individual
DR. JEFFREY W. HAZEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 COLEMANS XING, MARYSVILLE, OH 43040
(937) 578-2650
Mailing address
140 COLEMANS XING, MARYSVILLE, OH 43040-7080
(937) 578-2650
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35065739
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2164581
—
OH
Enumeration date
05/18/2006
Last updated
06/25/2019
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