MEDICARE: STEVEN A HARTUNG, DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	SC003444L	PA

General Provider Information

NPI Number	:	1134399017
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN A HARTUNG, DPM

Provider Business Mailing Address
First Line	:	1431 WASHINGTON BLVD
Second Line	:
City	:	WILLIAMSPORT
State	:	PA
Zip	:	17701-5424
Country	:	US
Telephone Number	:	570-323-7848
Fax Number	:	570-323-4681

Provider Business Practice Location Address
First Line	:	1431 WASHINGTON BLVD
Second Line	:
City	:	WILLIAMSPORT
State	:	PA
Zip	:	17701-5424
Country	:	US
Telephone Number	:	570-323-7848
Fax Number	:	570-323-4681

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEVEN A HARTUNG
Credential	:	DPM
Telephone Number	:	570-323-7848

Provider Enumeration Date	:	03/06/2008
Last Update Date	:	04/02/2008

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