Individual
DR. JONATHAN MATTHEW HATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
900 N OWEN WALTERS BLVD, SALINA, OK 74365-5003
(918) 434-8516
Mailing address
102 W CLAY RD, TAHLEQUAH, OK 74464-8302
(918) 519-4345
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2734
OK
Other
Enumeration date
07/25/2012
Last updated
07/02/2013
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