Individual
RICHARD MARK HATFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
331 LAIDLEY ST, STE 301, CHARLESTON, WV 25301-1605
(304) 346-4400
(304) 346-0704
Mailing address
PO BOX 3970, CHARLESTON, WV 25339-3970
(304) 346-4400
(304) 346-0704
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
0796812
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
13939
WV
207WX0107X
Retina Specialist (Ophthalmology) Physician
29210
KY
208600000X
Surgery Physician
13939
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095043000
—
WV
05
—
0796812
—
OH
05
—
64697303
—
KY
Enumeration date
06/09/2005
Last updated
05/06/2021
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