Individual
HARLAN DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 350-4606
(970) 350-4692
Mailing address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 353-9403
(970) 350-4645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3239
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29952069
—
CO
Enumeration date
09/01/2011
Last updated
01/26/2018
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