Individual
MR. ROBERT EUGENE HARTZOG III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2400 CANAL ST, NEW ORLEANS, LA 70119-6535
(800) 935-8387
Mailing address
98 PINE OAK DR, COVINGTON, LA 70433-5352
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09508
LA
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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