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Individual

DR. DOUGLASS V HARROUN

Active
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Individual

DR. DOUGLASS V HARROUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29238
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0150564
LABOR & INDUSTRIES
WA
05
1077528
WA
01
50D1025809
CLIA
WA
01
HA7798
REGENCE BLUE SHILED
WA
01
P00091648
RAILROAD MEDICARE
WA
Enumeration date
07/11/2005
Last updated
08/07/2012
Update your record

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