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NPI Code Detail

MEDICARE: DR. JEFFREY HARTUNG D.O.

MEDICARE: DR. JEFFREY HARTUNG D.O.
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
1207Q00000XFamily Medicine Physician03121IA
2207P00000XEmergency Medicine Physician03121IA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2080164891OTHERIARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902884976
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY HARTUNG D.O.
Provider Business Mailing Address
First Line : 405 MONROE ST
Second Line :
City : PELLA
State : IA
Zip : 50219-1189
Country : US
Telephone Number : 641-628-6649
Fax Number : 641-628-6699
Provider Business Practice Location Address
First Line : 405 MONROE ST
Second Line :
City : PELLA
State : IA
Zip : 50219-1189
Country : US
Telephone Number : 641-628-3832
Fax Number : 641-628-8894
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 02/07/2023

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Directions to “ DR. JEFFREY HARTUNG D.O.” Practice Location

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