Individual
PATRICK G HARTLEY
Active
Individual
PATRICK G HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MBBCH
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29024
IA
207RP1001X
Pulmonary Disease Physician
Primary
29024
IA
2083X0100X
Occupational Medicine Physician
29024
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096362
—
IA
01
—
10762
WELLMARK BCBS
IA
Enumeration date
12/23/2005
Last updated
12/04/2007
Update your record
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