| Doctor Name: | DR. STEVEN LOUIS HARTMAN |
| NPI Number: | 1295978518 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD20120647 |
| Business Practice Address: | 121 Calle Del Presidente Bernalillo, NM - 870046091 |
| Business Phone Number: | 5058672324 |
| Business Fax Number: | 5058673511 |
| Mailing Address: | 121 Calle Del Presidente, BERNALILLO |
| State: | NM |
| Postal Code: | 870046091 |
| Phone Number: | 5058672324 |
| Fax Number: | 5058673511 |
| NPI Enumeration Date: | 04/16/2009 |
| NPI Last Update Date: | 04/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | MD20120647 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |