Individual
DR. RICHARD A HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9695 S YOSEMITE ST, SUITE 200, LONE TREE, CO 80124-2888
(303) 338-4545
Mailing address
8777 RIDGEPOINT DRIVE, CASTLE PINES, CO 80108
(720) 934-5755
(303) 649-5975
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
31774
CO
207X00000X
Orthopaedic Surgery Physician
Primary
31774
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007037
KAISER-COMMERCIAL NUMBER
—
05
—
01317742
—
CO
Enumeration date
02/16/2007
Last updated
11/30/2021
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