Individual
GARY ALLEN HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3000
(913) 341-5797
Mailing address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3000
(913) 341-5797
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2002017914
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105535
HEALTH ALLIANCE
MO
01
—
110375
HEALTH LINK
MO
01
—
405586
BCBS
MO
01
—
430079551
RAILROAD MEDICARE
MO
05
—
919026302
—
MO
01
—
A165
CHAMPUS TRICARE
MO
Enumeration date
04/10/2006
Last updated
06/25/2009
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