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Individual
NATHANIEL MARTIS HARRY
Active
Individual
NATHANIEL MARTIS HARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0102206742
VA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
78968
MN
208D00000X
General Practice Physician
1881229730
VA
Other
Enumeration date
03/10/2020
Last updated
07/31/2025
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