Individual
DR. HA THUY HATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3417 ANDERSON HEALTHCARE DR STE 200, EDWARDSVILLE, IL 62025-7784
(618) 288-8500
Mailing address
3417 ANDERSON HEALTHCARE DR STE 200, EDWARDSVILLE, IL 62025-7784
(618) 288-8500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2021004767
MO
207Q00000X
Family Medicine Physician
Primary
036.158962
IL
207Q00000X
Family Medicine Physician
2019018922
MO
Other
Enumeration date
06/12/2019
Last updated
08/23/2022
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