Individual
DR. JEFFREY HARTUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
405 MONROE ST, PELLA, IA 50219-1189
(641) 628-3832
(641) 628-8894
Mailing address
405 MONROE ST, PELLA, IA 50219-1189
(641) 628-6649
(641) 628-6699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
03121
IA
207Q00000X
Family Medicine Physician
03121
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080164891
RAILROAD MEDICARE
IA
05
—
6158402
—
IA
Enumeration date
01/09/2006
Last updated
02/07/2023
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