Individual
DR. MOLLY AMANDA HARTZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2510 AIRPARK DR STE 301, REDDING, CA 96001-2462
(530) 242-3500
(530) 242-3546
Mailing address
3400 DATA DR, ATTN CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2018-00633
NC
207X00000X
Orthopaedic Surgery Physician
Primary
A162537
CA
Other
Enumeration date
05/16/2013
Last updated
09/23/2019
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