Individual
RICHARD J HARTLE
Active
Individual
RICHARD J HARTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101049148
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097290
ANTHEM
—
01
—
110075685
MC RAILROAD
—
01
—
4299917
AETNA
—
01
—
541659020
PHCS
—
01
—
55883
OPTIMA
—
01
—
859001
MAILHANDLERS
—
Enumeration date
08/14/2006
Last updated
12/06/2019
Update your record
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