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Individual

DAVID P HARTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1234
(505) 841-1956
Mailing address
1720 LOUISIANA BLVD NE, #401, ALBUQUERQUE, NM 87110-7022
(505) 260-4300
(505) 260-4338

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2000-206
NM
207L00000X
Anesthesiology Physician
ME49017
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003478
AZ
05
65732758
NM
01
NM009X65
BC/BS NEW MEXICO
NM
Enumeration date
09/26/2005
Last updated
07/09/2007
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