Doctor Name: | DONALD EUGENE HARJO |
NPI Number: | 1174940514 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CNA, PHLEBOTOMIST |
License Number: | 001 |
Business Practice Address: | 511 S Pa Ha Ln Bishop, CA - 935143057 |
Business Phone Number: | 7609202553 |
Business Fax Number: | |
Mailing Address: | 511 S Pa Ha Ln, BISHOP |
State: | CA |
Postal Code: | 935143057 |
Phone Number: | 7609202553 |
Fax Number: | |
NPI Enumeration Date: | 03/24/2014 |
NPI Last Update Date: | 03/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246RP1900X |
License Number: | 001 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Pathology |
Taxonomy Specialization: | Phlebotomy |
Taxonomy Definition: |