Individual
DR. MARK ALLAN HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3911 AVENUE B, SUITE G-100, SCOTTSBLUFF, NE 69361-4617
(308) 630-1348
(308) 630-1445
Mailing address
PO BOX 2116, SCOTTSBLUFF, NE 69363-2116
(308) 630-1716
(308) 630-1445
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
19219
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91181806900
—
NE
Enumeration date
03/09/2007
Last updated
07/08/2007
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