Individual
JOHN A HARTMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1103 WEBER RD, STE 101, FARMINGTON, MO 63640-3326
(573) 756-6438
(573) 756-6439
Mailing address
P.O. BOX 857, FARMINGTON, MO 63640-3326
(573) 756-6438
(573) 756-6439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R5E40
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242382208
—
MO
Enumeration date
06/10/2005
Last updated
07/08/2007
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