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Individual

DR. RICHARD W HARTL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15854 JACKSON CREEK PKWY, 120, MONUMENT, CO 80132-8662
(719) 481-2335
Mailing address
6930 WINTER HAWK CIR, COLORADO SPRINGS, CO 80919-1402
(719) 594-0926

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
23961
CO

Other

Enumeration date
06/08/2009
Last updated
06/08/2009
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