Individual
THOMAS HENRY HARTKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3617 S PACIFIC HWY, MEDFORD, OR 97501-8957
(541) 512-3182
(541) 512-1026
Mailing address
4940 HAMRICK RD, CENTRAL POINT, OR 97502-3072
(541) 535-6239
(541) 512-1026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO18483
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062646
—
OR
Enumeration date
07/27/2006
Last updated
04/03/2014
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