DR. Jason M. Hataye, M.D.
NPI #1962654517 in Hercules, California
Provider Information
- NPI Number
- 1962654517
- Entity Type
- Individual
- Name
- DR. Jason M. Hataye, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- M.D.
- Enumeration Date
- Oct 15, 2008
- Last Updated
- Oct 15, 2008
Practice Location
- Address
- 572 TURQUOISE DRIVE
- City
- Hercules
- State
- California
- ZIP Code
- 94547
- Phone
- (612) 701-5737
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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