Tyler Hartley, M.D.
Anesthesiology in Boise, ID. Individual provider (NPI-1).
NPI number1518348564
StatusActive
Last updated in NPPESOct 2, 2023
Details
- NPI
- 1518348564
- Entity type
- Individual (NPI-1)
- Name
- Tyler Hartley
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2015
- Certification date
- Oct 2, 2023
- Last updated
- Oct 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | M15505 | ID | Yes |
| 207L00000X | Anesthesiology | 18760 | NV | |
| 207L00000X | Anesthesiology | 7481 | NE |
Practice location
1055 N Curtis RdBoise, ID 83706-1309
Phone 208-367-5170 · Fax 208-367-5180
Mailing address
Po Box 7411114Chicago, IL 60674-1114
Phone 208-367-5170 · Fax 208-367-5180
Other practice locations
984150 Nebraska Medical Ctr
Omaha, NE 68198-4150
Omaha, NE 68198-4150
Phone 402-559-7405 · Fax 402-559-7372
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