Individual
MR. DAN E HARTLEY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
STATE LICENSED HEARI
Contact information
Practice address
502 PEVELY MANOR, SUITE 1, PEVELY, MO 63070
(636) 479-9556
Mailing address
PO BOX C, PARK HILLS, MO 63601
(573) 431-2717
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
894
MO
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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