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Individual

DR. NICHOLAS DAVID HARREL III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3815 E BELL RD, STE 2100, PHOENIX, AZ 85032-2122
(480) 454-7350
(602) 569-1038
Mailing address
3815 E BELL RD, SUITE 2100, PHOENIX, AZ 85032-2122
(480) 454-7350

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R70200
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
910778
AZ
Enumeration date
01/15/2010
Last updated
05/02/2016
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