Organization
DANNY L. HARTZOG OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANNY L HARTZOG O.D. (PRESIDENT)
(334) 775-3295
Entity
Organization
Contact information
Practice address
6 EAST COLLEGE AVE, CLAYTON, AL 36016-5106
(334) 775-3295
(334) 775-8269
Mailing address
PO BOX 519, CLAYTON, AL 36016-0519
(334) 775-3295
(334) 775-8269
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
S377TA045
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51059440
BLUE CROSS BLUE SHIELD
AL
Enumeration date
02/13/2008
Last updated
03/07/2008
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