Individual
DR. IRA FRANKLIN HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 N LOCUST ST, BUCKHANNON, WV 26201-2231
(304) 472-1600
(304) 472-6382
Mailing address
CENTRAL WV MEDCORP, INC., P.O. BOX 2630, ELKINS, WV 26241-2630
(304) 637-3799
(304) 637-3369
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09346
WV
208600000X
Surgery Physician
09346
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0127478000
—
WV
01
—
WV09346B
HEALTH PLAN
WV
Enumeration date
10/06/2006
Last updated
01/23/2008
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