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NPI Code Detail

MEDICARE: MR. STEVEN ALAN HARTUNG DPM

MEDICARE:  MR. STEVEN ALAN 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
1213E00000XPodiatristSC003444LPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13956670001OTHERPAMEDICARE DME
5480011503OTHERPARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000653468OTHERPAHIGHMARK BLUE SHIELD
4073559OTHERPAFIRST PRIORITY HEALTH

General Provider Information

NPI Number : 1174563076
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEVEN ALAN 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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 01/13/2016

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Directions to “ MR. STEVEN ALAN HARTUNG DPM” Practice Location

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