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NPI Code Detail

MEDICARE: DR. DAVID GERARD HARTMANN DC

MEDICARE: DR. DAVID GERARD HARTMANN DC
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
1111N00000XChiropractor005961MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110851409OTHERAETNA
23650OTHERBLUE CROSS BLUE SHIELD
3181680OTHERHEALTHLINK

General Provider Information

NPI Number : 1720108004
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID GERARD HARTMANN DC
Provider Business Mailing Address
First Line : 5226 S LINDBERGH BLVD
Second Line :
City : ST LOUIS
State : MO
Zip : 63126-3519
Country : US
Telephone Number : 314-842-6777
Fax Number : 314-842-0377
Provider Business Practice Location Address
First Line : 5226 S LINDBERGH BLVD
Second Line :
City : ST LOUIS
State : MO
Zip : 63126-3519
Country : US
Telephone Number : 314-842-6777
Fax Number : 314-842-0377
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2007
Last Update Date : 07/08/2007

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