Doctor Name: | DONALD T HARWICK |
NPI Number: | 1215136957 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A. |
License Number: | PA13177 |
Business Practice Address: | 9300 N Loop Blvd Suite A&b California City, CA - 935052269 |
Business Phone Number: | 7603731256 |
Business Fax Number: | 7603731214 |
Mailing Address: | 9300 N Loop Blvd, Suite A&b CALIFORNIA CITY |
State: | CA |
Postal Code: | 935052269 |
Phone Number: | 7603731256 |
Fax Number: | 7603731214 |
NPI Enumeration Date: | 07/12/2007 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA13177 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |