Individual
STANLEY MELVIN HATESOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 PONCE DE LEON DR, HOT SPRINGS VILLAGE, AR 71909-8121
(501) 922-1700
(501) 922-0826
Mailing address
PO BOX 21850, HOT SPRINGS, AR 71903-1850
(870) 904-2807
(501) 321-4057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21750
KS
207Q00000X
Family Medicine Physician
Primary
E-13524
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100206090B
—
KS
Enumeration date
05/05/2006
Last updated
09/28/2020
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