# ALBERT R HARTMAN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619123452
- **Authorized official:** DR. ALBERT R HARTMAN M.D. (OWNER)
- **Authorized official phone:** (801) 387-4800

## Contact information

- **Practice address:** 4403 HARRISON BLVD, 4625, OGDEN, UT 84403-3271
- **Practice address phone:** (801) 387-4800
- **Practice address fax:** (801) 387-4805
- **Mailing address:** 4403 HARRISON BLVD, STE 4625, OGDEN, UT 84403-3271
- **Mailing address phone:** (801) 387-4800
- **Mailing address fax:** (801) 387-4805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | 1651421205 | UT | Yes |

## Other

- **Enumeration date:** 08/12/2008
- **Last updated:** 04/29/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 528649764009 | — | UT |