# DR. CORDELL EVAN HARTHOORN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1174769301
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036147964 | IL | — |
| 207Q00000X | Family Medicine Physician | 04-41727 | KS | — |
| 207Q00000X | Family Medicine Physician | 11090546-1205 | UT | — |
| 207Q00000X | Family Medicine Physician | 11396 | SD | — |
| 207Q00000X | Family Medicine Physician | 21459 | NE | Yes |
| 207Q00000X | Family Medicine Physician | 57802 | AZ | — |
| 207Q00000X | Family Medicine Physician | 64844 | MN | — |
| 207Q00000X | Family Medicine Physician | CDR.0000260 | CO | — |
| 207Q00000X | Family Medicine Physician | MD-45813 | IA | — |
| 207Q00000X | Family Medicine Physician | MD22777 | ME | — |
| 207Q00000X | Family Medicine Physician | MD60921102 | WA | — |

## Other

- **Enumeration date:** 12/17/2008
- **Last updated:** 01/21/2025