Individual
DR. GREGORY K HARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 E TOWER PARK DR, WATERLOO, IA 50701-9330
(319) 232-0555
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26144
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0038414
—
IA
Enumeration date
06/28/2006
Last updated
02/04/2022
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