Individual
DR. RUSSELL ERIC HATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 S TIMBERLANE DR, EL DORADO, AR 71730-6990
(870) 862-2400
(870) 862-1891
Mailing address
600 S TIMBERLANE DR, EL DORADO, AR 71730-6990
(870) 862-2400
(870) 862-1891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E1409
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136915001
—
AR
Enumeration date
09/15/2005
Last updated
02/20/2014
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