Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 35093282 | OH |
NPI | 1003043472 |
---|---|
Provider Name | Dr. Melissa K Hartman |
First Address | Xenia, OH 45385-1619 |
Second Address | Xenia, OH 45385-1619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2009 |
Last Update Date | 12/06/2009 |