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Individual
MR. THOMAS MARK HARTLEY
Active
Individual
MR. THOMAS MARK HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
100628
MO
207X00000X
Orthopaedic Surgery Physician
Primary
G89301
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093058
UNITED HEALTH CARE
—
01
—
1164407391
COVENTRY
—
01
—
18475026
BCBS
—
01
—
3076318
CIGNA
—
01
—
4364771
AETNA
—
01
—
P00455132
RAILROAD MEDICARE
—
Enumeration date
12/09/2005
Last updated
07/13/2018
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