MEDICARE: DR. JANE HARTLINE MD

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	207Q00000X	Family Medicine Physician	22819	AZ

General Provider Information

NPI Number	:	1548390768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANE HARTLINE MD

Provider Business Mailing Address
First Line	:	2260 N ROSEMONT BLVD STE 107
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-2137
Country	:	US
Telephone Number	:	520-318-1033
Fax Number	:

Provider Business Practice Location Address
First Line	:	2260 N ROSEMONT BLVD STE 107
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-2137
Country	:	US
Telephone Number	:	520-318-1033
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	12/09/2013

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Directions to “ DR. JANE HARTLINE MD” Practice Location

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