Individual
BRADLEY HATFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
Mailing address
24 A ST NE APT C, MIAMI, OK 74354-6311
(417) 317-7726
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0070464
OK
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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