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Individual
BRENT DEAN HARTSELL
Active
Individual
BRENT DEAN HARTSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
04-23927
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
18120
OK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
H4387
TX
Other
Enumeration date
07/17/2006
Last updated
06/30/2020
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