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Individual

HERSCHEL R HARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7626
(318) 330-7648
Mailing address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7626
(318) 330-7648

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
06283R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1336432
LA
Enumeration date
01/24/2006
Last updated
12/17/2014
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