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Gordon Hazlette, CRNA
NPI 1790895662 · on the registry since 2006
Practice
- Address
- 88 Mdg/Sghj
4881 Sugar Maple Dr.
Wright-Patterson Afb, OH 42433 - Phone
- (937) 257-6529
- Clinicians at this address
- 14
Additional practice sites
- 301 Fisher St, Biloxi, MS
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio