Individual
DR. DAVID ANDREW HARTZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
847 WESTERN BYPASS, SUITE D, ANDALUSIA, AL 36420
(334) 222-8561
Mailing address
31878 ANTIOCH RD, ANDALUSIA, AL 36421-5912
(334) 343-2473
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-F28-TA-D11
AL
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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