Individual
JAYMES HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
77 W FOREST AVE STE 208, FLAGSTAFF, AZ 86001-1483
(928) 773-2544
Mailing address
77 W FOREST AVE STE 208, FLAGSTAFF, AZ 86001-1483
(928) 773-2544
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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