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Individual

SAMUEL RYAN HARMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(800) 899-8448
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002236A
IN
363A00000X
Physician Assistant

Other

Enumeration date
07/13/2017
Last updated
02/24/2022
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