Individual
GARY A HARTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2662 EDITH AVE, REDDING, CA 96001-0000
(530) 395-0340
(530) 255-6107
Mailing address
2662 EDITH AVE, REDDING, CA 96001-3043
(530) 395-0340
(530) 255-6107
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
PA13653
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851403075
—
CA
Enumeration date
09/01/2006
Last updated
12/07/2021
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