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Individual

ANDREW E HARMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1790 S YUMA ST, SALT LAKE CITY, UT 84108-2925
(801) 231-7452
Mailing address
1790 S YUMA ST, SALT LAKE CITY, UT 84108-2925
(801) 231-7452

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8470157-1206
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
143658
PEHP
UT
01
P01147061
RAILROAD MEDICARE
UT
Enumeration date
10/29/2012
Last updated
11/03/2021
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