Individual
MR. JOHN W HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4813 BERESIK CIR, LAS VEGAS, NV 89115-2228
(228) 424-1438
Mailing address
4813 BERESIK CIRCLE, NELLIS AFB, NV 89115
(228) 424-1438
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
RN 9204030
FL
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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