Individual
DANIEL JOE HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 373-7850
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
1092
MN
2085R0202X
Diagnostic Radiology Physician
Primary
3102651-1205
UT
2085R0204X
Vascular & Interventional Radiology Physician
3102651-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107008895102
IHC
UT
01
—
31026511204001
BLUE CROSS
UT
01
—
638482
DMBA
UT
05
—
870284448008
—
UT
01
—
870284448DH2
EMIA
UT
Enumeration date
06/16/2006
Last updated
11/06/2024
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