Individual
THOMAS B HAZLEHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 SULLIVAN AVE, DALY CITY, CA 94015-2200
(650) 400-0277
(650) 340-1785
Mailing address
39159 PASEO PADRE PKWY, SUITE 203, FREMONT, CA 94538-1608
(510) 505-1091
(510) 505-1111
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G37365
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G373651
—
CA
01
—
290007636
MEDICARE RAILROAD
—
01
—
G37365
LICENSE
CA
Enumeration date
08/08/2006
Last updated
10/22/2009
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