Individual
DR. JOHN DAVID HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
246 CATALINA DR, ASHLAND, OR 97520-1624
(541) 488-3192
(541) 488-0646
Mailing address
246 CATALINA DR, ASHLAND, OR 97520-1624
(541) 488-3192
(541) 488-0646
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
34419
SC
207W00000X
Ophthalmology Physician
45882
TN
207W00000X
Ophthalmology Physician
MD176865
OR
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
MD176865
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344194
—
SC
05
—
500707611
—
OR
01
—
P01236562
RAILROAD MEDICARE
SC
Enumeration date
02/02/2006
Last updated
06/20/2017
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