Individual
DOUGLAS A. HADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1648 ELLIS ST STE 201, BOZEMAN, MT 59715-8811
(406) 587-8631
(406) 587-1343
Mailing address
1648 ELLIS ST STE 201, BOZEMAN, MT 59715-8811
(406) 587-8631
(406) 587-1343
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
A78906
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MED-PHYS-LIC-43501
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A789060
—
CA
Enumeration date
11/01/2006
Last updated
09/22/2020
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