Individual
MICHAEL SEAN HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4932 S 3425 W, ROY, UT 84067-8656
(801) 309-6174
Mailing address
4932 S 3425 W, ROY, UT 84067-8656
(801) 309-6174
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
57954461206
UT
Other
Enumeration date
08/08/2007
Last updated
06/19/2014
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