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Individual
MR. ERIC L HARRY
Active
Individual
MR. ERIC L HARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0577
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4992827
WELLMARK BC/BS OF SD
SD
05
—
6827442
—
SD
01
—
9238612
DAKOTACARE
SD
01
—
D24201053195
PREFERRED ONE
SD
Enumeration date
12/21/2005
Last updated
08/06/2021
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