Individual
COREY Q HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1202 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-3926
(253) 441-4742
(253) 442-8790
Mailing address
1019 PACIFIC AVE STE 300, ATTN: CREDENTIALING, TACOMA, WA 98402-4488
(253) 722-1540
(253) 597-4556
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004371
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8356859
—
WA
Enumeration date
07/20/2006
Last updated
03/26/2015
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