Individual
MR. CLINTON LEE HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1025 PENNOCK PL STE 121, FORT COLLINS, CO 80524-3257
(980) 495-8980
(970) 495-8988
Mailing address
1025 PENNOCK PL STE 121, FORT COLLINS, CO 80524-3257
(980) 495-8980
(970) 495-8988
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0000483
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17208548
—
CO
Enumeration date
10/04/2006
Last updated
01/20/2020
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