Individual
DR. DAVID CLARK HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 W LEOTA ST, NORTH PLATTE, NE 69101-6525
(308) 647-6444
(308) 647-6433
Mailing address
PO BOX 362, NORTH PLATTE, NE 69103-0362
(308) 647-6444
(308) 647-6433
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21277
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300133488
MEDICARE RAILROAD
—
01
—
35792
BLUE CROSS / BLUE SHIELDS
NE
05
—
7705720
—
SD
Enumeration date
07/13/2006
Last updated
08/09/2010
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