Matthew Hartman
Physician Assistant in Danville, CA. Individual provider (NPI-1).
NPI number1164086948
StatusActive
Last updated in NPPESJul 17, 2019
Details
- NPI
- 1164086948
- Entity type
- Individual (NPI-1)
- Name
- Matthew Hartman
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 26, 2019
- Last updated
- Jul 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA56898 | CA | Yes |
Practice location
215 Kaitlyn LnDanville, CA 94506-4717
Phone 925-915-0483
Mailing address
215 Kaitlyn LnDanville, CA 94506-4717
Phone 925-915-0483
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