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Individual

NEAL RUSSELL HARTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1900
(602) 933-1918
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
(602) 933-8972

Taxonomy

Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
2015030821
MO
208000000X
Pediatrics Physician
2015030821
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
60758
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006541
AZ
Enumeration date
05/15/2012
Last updated
01/12/2022
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