Individual
DAYLE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17738 E CREOSOTE LN, GILBERT, AZ 85298-8995
(623) 688-7362
Mailing address
17738 E CREOSOTE LN, GILBERT, AZ 85298-8995
(623) 688-7362
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F09181197
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221848
—
AZ
Enumeration date
02/20/2019
Last updated
02/20/2019
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