Individual
DAVID E HARTENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13001 N OUTER 40 RD STE 320, CHESTERFIELD, MO 63017-5941
(314) 567-7337
(314) 851-4476
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 567-7337
(314) 851-4476
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R5N56
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1200167
UHC
MS
01
—
138492
HEALTHLINK
MO
01
—
1956V34311
HEALTHCARE USA
MO
01
—
22999
BCBS
MO
01
—
40116
GHP
MO
01
—
4135142
AETNA
MO
01
—
92215275
BLUE SHIELD
MO
01
—
F07321
MERCY
MO
Enumeration date
11/08/2005
Last updated
03/30/2020
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