Organization
JOE M HAZEL MD
Active
Other names
Associated Dermatologists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE MICHAEL HAZEL MD (PRESIDENT)
(937) 399-5911
Entity
Organization
Contact information
Practice address
1671 N LIMESTONE ST, SPRINGFIELD, OH 45503-2646
(937) 399-5911
Mailing address
1671 N LIMESTONE ST, SPRINGFIELD, OH 45503-2646
(937) 399-5911
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
91679
OH
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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