Individual
DAVID L HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
127 E REDSTONE AVE STE C, CRESTVIEW, FL 32539-5356
(850) 423-0061
(850) 423-9954
Mailing address
127 E REDSTONE AVE STE C, CRESTVIEW, FL 32539-5356
(850) 423-0061
(850) 423-9954
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15511
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118971
—
MS
05
—
1534811
—
LA
Enumeration date
05/27/2006
Last updated
09/09/2024
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