Individual
ADAM CHRISTOPHER HARKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
861 CORONADO CENTER DR STE 100, HENDERSON, NV 89052-3992
(702) 257-7546
(702) 870-4824
Mailing address
151 SOUTHHALL LN STE 300, MAITLAND, FL 32751-7172
(407) 216-2691
(702) 307-5480
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
PA1397
NV
363A00000X
Physician Assistant
Primary
PA 1397
NV
363AM0700X
Medical Physician Assistant
PA 1397
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA1397
NEVADA LICENSE
NV
Enumeration date
12/10/2012
Last updated
01/13/2020
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