Individual
DENIS A HARLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 BALL ST, SEDRO-WOOLLEY, WA 98284-0450
(360) 855-1411
(360) 855-1411
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 855-1411
(360) 855-1933
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00041814
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8333734
—
WA
Enumeration date
08/30/2006
Last updated
04/05/2016
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