Organization
K. DELTON HARTZOG, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH DELTON HARTZOG O.D. (OWNER)
(256) 546-4647
Entity
Organization
Contact information
Practice address
249 S 6TH ST, GADSDEN, AL 35901-4102
(256) 546-4647
(256) 546-4272
Mailing address
249 S 6TH ST, GADSDEN, AL 35901-4102
(256) 546-4647
(256) 546-4272
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S357TA046
AL
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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