Individual
ERIC ALLEN HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5705 NW 100TH ST STE 100, JOHNSTON, IA 50131-1813
(515) 726-3376
(515) 446-9707
Mailing address
5705 NW 100TH ST STE 100, JOHNSTON, IA 50131-1813
(515) 726-3376
(515) 446-9707
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
38780
IA
207N00000X
Dermatology Physician
ME102545
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001493000
—
FL
Enumeration date
11/21/2008
Last updated
10/14/2020
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