Individual
SARA L HARTSAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 W LAKEWAY RD STE 1, GILLETTE, WY 82718-6373
(307) 682-7555
(307) 687-7243
Mailing address
PO BOX 1272, GILLETTE, WY 82717-1272
(307) 682-7555
(307) 687-7243
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4519A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104231900
—
WY
Enumeration date
07/05/2005
Last updated
10/28/2020
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