Individual
WARREN GRANT HARBISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(082) 422-1108
Mailing address
411 32ND AVENUE DR NW, HICKORY, NC 28601-1043
(828) 326-3809
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M-14100
ID
Other
Enumeration date
07/13/2006
Last updated
03/07/2023
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