NPI 1194915785

Donald C. Hartlieb M.D. LTD

Organisation Preferred Provider Organization Henderson, NV

Practice location

Address: 10521 Jeffreys St Suit 220, Henderson, NV 89052-4180
Phone: (702) 733-8871
Fax: (702) 733-2177

Authorised official

Name: Tricia Michelle Maldonado
Title: Office Manager
Phone: (702) 733-8871

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 5104 (NV)

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Registry record

NPI: 1194915785
Entity type: Organization
NPI issued: 30 Jul 2007
Record last updated: 10 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.