Individual
DYLAN L HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
360 E. MALLARD DR. STE 110, HOLLINGSHEAD EYE CENTER, BOISE, ID 83706-3945
(208) 336-8700
(208) 426-0902
Mailing address
360 E. MALLARD DR. STE 110, HOLLINGSHEAD EYE CENTER, BOISE, ID 83706-3945
(208) 336-8700
(208) 426-0902
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100275
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/13/2010
Last updated
07/21/2022
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