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Individual

DR. MATTHEW P HIATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
5160 S WHITE MOUNTAIN RD, SHOW LOW, AZ 85901-7826
(928) 532-5502
(928) 532-5499
Mailing address
5160 S WHITE MOUNTAIN RD, SHOW LOW, AZ 85901-7826
(928) 532-5501
(928) 532-5499

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S014841
AZ

Other

Enumeration date
01/12/2010
Last updated
01/12/2010
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