Individual
MR. DAVID CHARLES HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2785 N ANKENY BLVD, ANKENY, IA 50023-4705
(816) 590-3010
Mailing address
709 SE 5TH CT, ANKENY, IA 50021-6407
(816) 590-3010
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
114949
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/21/2020
Last updated
06/02/2022
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