Individual
DAVID A HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 SOUTH WATER STREET, HARDIN, IL 62047-0106
(618) 576-9407
(618) 576-2260
Mailing address
1 MEMORIAL DR, ALTON, IL 62002-6722
(314) 996-4545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036069786
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069786
—
IL
01
—
080022211
MEDICARE RAILROAD
IL
Enumeration date
04/22/2006
Last updated
02/22/2021
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