Individual
DR. DAVID PAUL HARRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
709 4TH AVE NE, PAIN MANAGEMENT CLINIC, WATFORD CITY, ND 58854-7628
(701) 842-3000
Mailing address
709 4TH AVE NE, WATFORD CITY, ND 58854-7628
(701) 842-3000
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
01081532A
IN
208VP0014X
Interventional Pain Medicine Physician
Primary
210437
AK
208VP0014X
Interventional Pain Medicine Physician
21630
ND
208VP0014X
Interventional Pain Medicine Physician
37745
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00188001
MEDICARE PTAN
KY
05
—
300022878
—
IN
05
—
64070550
—
KY
01
—
IN4081001
MEDICARE PTAN
IN
Enumeration date
09/21/2006
Last updated
10/22/2025
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