person
Ms. Mari C Hately, MD
General Practice Physician in Anchorage, Alaska
NPI 1467447110

Mari C Hately is a General Practice Physician based in Anchorage, AK. Mari C Hately practices in Anchorage, AK and has the professional credentials of MD. The NPI Number for Mari C Hately is 1467447110 and holds a License No. MR0833 (Alaska).

The current practice location address for Mari C Hately is 4320 Diplomacy Dr, Anchorage, AK and can be reached out via phone at 907-729-8624.

Location: 4320 Diplomacy Dr, Anchorage, AK, 99508-5925
person
Provider Profile Details
NPI Number
1467447110
Provider Name
Mari C Hately
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4320 Diplomacy Dr, Anchorage, AK, 99508-5925
Phone Number
907-729-8624
Fax Number
Provider Enumeration Date
09/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807254800 05 ID
institution
Provider Business Practice Location Address Details
Address
4320 Diplomacy Dr
City
State
Zip
99508-5925
Phone Number
907-729-8624
Fax Number
person
Provider Business Mailing Address Details
Address
4320 Diplomacy Dr
City
State
Zip
99508-5925
Phone Number
907-729-8624
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
5518 (Alaska)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
MR0833 (Idaho)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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