Individual
BRYLIE HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
609 SE KENT ST, GREENFIELD, IA 50849-9454
(641) 743-2123
Mailing address
609 SE KENT ST, GREENFIELD, IA 50849-9454
(641) 743-2123
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
122678
IA
363A00000X
Physician Assistant
13900
MN
Other
Enumeration date
11/03/2021
Last updated
06/03/2024
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