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Individual

DOUGLAS WAYNE HARLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
676 SOUTH BROADWAY STREET, CANAL PHYSICIANS GROUP, AKRON, OH 44311-1059
(330) 344-4000
(330) 253-2349
Mailing address
676 SOUTH BROADWAY STREET, CANAL PHYSICIANS GROUP, AKRON, OH 44311-1059
(330) 344-4000
(330) 253-2349

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34008403
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0290886
CFM MEDICAID GROUP #
OH
01
1548207111
CFG TYPE 2 NPI #
OH
01
1821035940
AGMC (CFM)TYPE 2 NPI #
OH
01
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
05
2555739
OH
01
3600271
CFM MEDICARE GROUP #
OH
01
4177252
MEDICARE PTAN (PPG)
OH
01
7402171
MEDICARE PTAN (CFM)
OH
01
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
10/03/2005
Last updated
01/24/2013
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