Individual
MARK C HARTLEY
Active
Individual
MARK C HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101041921
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6402038
—
VA
01
—
DC1555
MEDICARE RAILROAD GROUP
—
01
—
P00151220
MEDICARE RAILROAD
—
Enumeration date
07/21/2006
Last updated
10/26/2020
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