Individual
DR. DONALD DAVID HARTMAN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1907 S BROADWAY AVE STE 101, BOISE, ID 83706-4229
(208) 453-1222
(208) 345-1261
Mailing address
6565 W EMERALD ST, BOISE, ID 83704-8737
(208) 377-5055
(208) 377-5335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M5688
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003740800
—
ID
Enumeration date
06/16/2005
Last updated
10/26/2018
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