Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN MICHAEL HAUTALA, M.D.
ActiveDR. JOHN MICHAEL HAUTALA, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in FIRCREST, Washington. NPI 1174664130 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · FIRCREST, WA
Registration Details
- NPI Number
- 1174664130
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 10, 2007 (19.536244041273 yrs)
- Last Updated
- Mar 7, 2023
- License
-
MD00019059 (WA)
Practice Information
- Address
-
1033 REGENTS BLVDSUITE 102FIRCREST, WA, 984666045Browse WA providers · Browse ZIP 98466
- Phone
- 2535641115
- Fax
- 2535654552
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.