Individual
AARON MAX HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5421 S 19TH W, ROY, UT 84067
(801) 825-9703
(801) 825-5349
Mailing address
751 W HIGHWAY 40, VERNAL, UT 84078-2427
(801) 886-2020
(801) 954-0054
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7059136-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000009430
MEDICARE STORE #9 PTAN
UT
05
—
1396832655
—
UT
05
—
1780785238
—
UT
01
—
U000009923
MEDICARE PTAN STORE #15
UT
Enumeration date
09/23/2008
Last updated
03/04/2019
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