DR. Nickoline M Hathaway, MD

NPI #1629005749 in Bishop, California

Provider Information

NPI Number: 1629005749
Entity Type: Individual
Name: DR. Nickoline M Hathaway, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jun 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 152 PIONEER LN
Address 2: SUITE C
City: Bishop
State: California
ZIP Code: 93514-2563
Phone: (760) 873-7111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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