Individual
MATTHEW HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
11595 N MERIDIAN ST STE 140, CARMEL, IN 46032-4544
(317) 708-4832
Mailing address
144 DIPLOMAT CT APT 9, BEECH GROVE, IN 46107-2343
(812) 343-5128
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2000018286
IN
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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