Individual
MISS SARAH O HARTZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
925 E POLSTON AVE, POST FALLS, ID 83854-9049
(208) 618-0787
(844) 807-3782
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(208) 773-8585
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA685
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807829000
—
ID
Enumeration date
08/23/2007
Last updated
08/25/2021
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