Individual
DR. DAVID HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 BURNETT DR, MOUNTAIN HOME, AR 72653-2908
(870) 425-9120
(870) 424-4470
Mailing address
3460 E 76TH ST, TULSA, OK 74136-8040
(845) 258-8399
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E15270
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02072360
—
NY
05
—
283734001
—
AR
Enumeration date
09/22/2006
Last updated
10/04/2022
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