Individual
DAVID E HARTENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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