Individual
TIMOTHY HATTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1434
(985) 230-1369
(985) 230-1368
Mailing address
2213 CHERRY ST, TOLEDO, OH 43608-2603
(419) 251-4724
(419) 251-2698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
305402
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2014
Last updated
07/09/2018
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