Individual
CHAD EDWARD HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
72 LAKE HAVASU AVE S STE 102, LAKE HAVASU CITY, AZ 86403-0857
(928) 453-2211
(928) 453-2213
Mailing address
72 LAKE HAVASU AVE S STE 102, LAKE HAVASU CITY, AZ 86403-0857
(928) 453-2211
(928) 453-2219
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
46605
AZ
Other
Enumeration date
06/27/2008
Last updated
06/29/2020
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