Doctor Name: | DR. LESLIE COLT HARDING |
NPI Number: | 1801931969 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 9446 |
Business Practice Address: | 12 Church Street Jay, ME - 04239 |
Business Phone Number: | 2078972521 |
Business Fax Number: | 2078973948 |
Mailing Address: | 12 Church Street, JAY |
State: | ME |
Postal Code: | 04239 |
Phone Number: | 2078972521 |
Fax Number: | 2078973948 |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 9446 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |