Individual
MARK C HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3219 SULLIVANT AVE, COLUMBUS, OH 43204-1837
(844) 735-2773
Mailing address
3219 SULLIVANT AVE, COLUMBUS, OH 43204-1837
(844) 735-2773
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35071758
OH
207R00000X
Internal Medicine Physician
Primary
35071758
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2042748
—
OH
Enumeration date
07/05/2006
Last updated
01/13/2017
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