Individual
GLEN HATCHER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9455 W RUSSELL RD, 100, LAS VEGAS, NV 89148-5667
(702) 896-6043
(702) 896-9591
Mailing address
2598 WINDMILL PKWY, HENDERSON, NV 89074-5476
(702) 896-6043
(702) 896-9591
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
633
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020-18787
—
NV
Enumeration date
07/18/2005
Last updated
12/21/2015
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