Individual
DONALD T HARWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
9300 N LOOP BLVD, SUITE A&B, CALIFORNIA CITY, CA 93505-2269
(760) 373-1256
(760) 373-1214
Mailing address
9300 N LOOP BLVD, SUITE A&B, CALIFORNIA CITY, CA 93505-2269
(760) 373-1256
(760) 373-1214
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13177
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA13177
PA LICENSE
CA
Enumeration date
07/12/2007
Last updated
07/12/2007
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