Individual
DR. NICKOLAS GRANT HARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3632 AMERICAN WAY STE A, CASPER, WY 82601-3164
(307) 234-6765
(307) 234-6998
Mailing address
PO BOX 51088, CASPER, WY 82605-1088
(307) 233-0246
(307) 237-5421
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9701A
WY
Other
Enumeration date
06/22/2012
Last updated
01/25/2016
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