Individual
DR. NICHOLAS BRIAN HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 S CRISMON RD, MESA, AZ 85209-3767
(480) 358-6100
Mailing address
1301 S CRISMON RD, MESA, AZ 85209-3767
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52111
AZ
207R00000X
Internal Medicine Physician
Primary
CDR.0000672
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2013
Last updated
05/15/2025
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