Individual
MR. WILLIAM KENNETH HARTMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1200 E COLUMBIA AVE, COLVILLE, WA 99114
(509) 684-3701
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003949
WA
Other
Enumeration date
08/31/2006
Last updated
05/25/2021
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