Individual
HARRISON DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1031 NEW MOODY LN STE 200, LA GRANGE, KY 40031-9151
(502) 222-6008
(502) 225-9878
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54230
KY
207RG0100X
Gastroenterology Physician
Primary
54230
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2017
Last updated
05/24/2023
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