Individual
DAVID JONATHAN HARTZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2521 ALLEGHANY LOOP, VIRGINIA BEACH, VA 23456-2442
(240) 481-4429
Mailing address
2521 ALLEGHANY LOOP, VIRGINIA BEACH, VA 23456-2442
(240) 481-4429
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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