Individual
STANLEY E HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 432-6629
(307) 432-6634
Mailing address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 432-6629
(307) 432-6634
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27561
CO
207R00000X
Internal Medicine Physician
Primary
3923A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21012
—
WY
05
—
36003859
—
CO
Enumeration date
04/03/2006
Last updated
06/07/2013
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