Individual
WILLIAM A HAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13350 FRANKLIN FARM ROAD, SUITE 220, HERNDON, VA 20171
(703) 471-5300
(701) 471-4391
Mailing address
PO BOX 60318, CHARLOTTE, NC 28260-0318
(703) 385-4707
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101040294
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6301622
—
VA
Enumeration date
07/21/2006
Last updated
11/20/2007
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