Individual
DR. KENT M HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3331 E BASELINE RD, GILBERT, AZ 85234-2633
(480) 964-1600
(480) 833-7640
Mailing address
3331 E BASELINE RD, GILBERT, AZ 85234-2633
(480) 964-1600
(480) 833-7640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2754
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080131963
RAILROAD
AZ
05
—
147620001
—
AZ
01
—
1Z1018
HEALTH NET AZ
AZ
01
—
526610254
TRICARE
AZ
01
—
AZ0392550
BCBS
AZ
Enumeration date
06/09/2006
Last updated
03/26/2013
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