Individual
DR. THOMAS G HARTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2345 DOUGHERTY FERRY RD, EMERGENCY DEPARTMENT, SAINT LOUIS, MO 63122-3313
(314) 966-9666
Mailing address
12467 MATTHEWS LANE, ST LOUIS, MO 63127
(314) 842-3943
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R9107
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012050155
CPIN ST ANTHONYS
—
01
—
930024415
RAILROAD
—
Enumeration date
09/27/2006
Last updated
11/03/2008
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