Individual
JACOB ALLAN HARDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1191
MN
213E00000X
Podiatrist
POD-001084
AZ
Other
Enumeration date
04/29/2019
Last updated
03/18/2025
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