Individual
MR. CLAIR W. HARTLE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2153 E JOYCE BLVD STE 201, FAYETTEVILLE, AR 72703-5285
(479) 575-9471
Mailing address
839 COUNTY ROAD 1032, MOUNTAIN HOME, AR 72653-5380
(817) 995-5012
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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