Individual
DEAN M HARLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3362 S 3RD ST, MEMPHIS, TN 38109-2944
(901) 701-2510
Mailing address
3633 VALLEY VISTA ROAD, NASHVILLE, TN 37205-3820
(615) 269-4872
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
046402
OH
207L00000X
Anesthesiology Physician
12345
GA
207L00000X
Anesthesiology Physician
2002000491
MO
207L00000X
Anesthesiology Physician
37240
KY
207R00000X
Internal Medicine Physician
Primary
24286
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000578020
ANTHEM BCBS
KY
05
—
6491516800
—
KY
Enumeration date
07/24/2006
Last updated
12/02/2015
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