Doctor Name: | JUDE B HARRISON |
NPI Number: | 1154451383 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 25842 |
Business Practice Address: | 316 Sawyer Dr Durango, CO - 813036560 |
Business Phone Number: | 9702593110 |
Business Fax Number: | 9702596605 |
Mailing Address: | 316 Sawyer Dr, DURANGO |
State: | CO |
Postal Code: | 813036560 |
Phone Number: | 9702593110 |
Fax Number: | 9702596605 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 03/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25842 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |