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Individual
DR. FRED PAUL HARCHELROAD JR.
Active
Individual
DR. FRED PAUL HARCHELROAD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD029308E
PA
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
MD029308E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009727240005
—
PA
05
—
2003749000
—
WA
05
—
2223481
—
OH
Enumeration date
08/01/2005
Last updated
08/05/2022
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