MEDICARE: STEPHEN E. HATFIELD, DO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician		AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548457203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPHEN E. HATFIELD, DO LLC

Provider Business Mailing Address
First Line	:	4850 E. BASELINE ROAD
Second Line	:	SUITE 118
City	:	MESA
State	:	AZ
Zip	:	85206-0000
Country	:	US
Telephone Number	:	480-461-0047
Fax Number	:	480-461-1103

Provider Business Practice Location Address
First Line	:	4850 E. BASELINE ROAD
Second Line	:	SUITE 118
City	:	MESA
State	:	AZ
Zip	:	85206-0000
Country	:	US
Telephone Number	:	480-461-0047
Fax Number	:	480-461-1103

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	STEPHEN E. HATFIELD
Credential	:	DO
Telephone Number	:	480-461-0047

Provider Enumeration Date	:	09/26/2007
Last Update Date	:	07/21/2022

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