Doctor Name: | DR. HAROLD H HARALSON |
NPI Number: | 1679520209 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | OK13229 |
Business Practice Address: | 408 N Main St Pob 519 Noble, OK - 730689574 |
Business Phone Number: | 4058723885 |
Business Fax Number: | 4058729758 |
Mailing Address: | 408 N Main St, Pob 519 NOBLE |
State: | OK |
Postal Code: | 730689574 |
Phone Number: | 4058723885 |
Fax Number: | 4058729758 |
NPI Enumeration Date: | 05/28/2006 |
NPI Last Update Date: | 03/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OK13229 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |