Organization
HARKINS FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL T HARKINS M.D. (PRESIDENT)
(308) 635-2004
Entity
Organization
Contact information
Practice address
1821 1ST AVE, SCOTTSBLUFF, NE 69361-2404
(308) 635-2004
Mailing address
1821 1ST AVE, SCOTTSBLUFF, NE 69361-2404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17710
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099439
MEDICARE
NE
05
—
10025044900
—
NE
Enumeration date
07/24/2007
Last updated
08/09/2007
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