Individual
DR. RUSSELL VAL HARWARD SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11616 S STATE ST, SUITE 1502, DRAPER, UT 84020-7125
(801) 571-2200
(801) 816-1048
Mailing address
11616 S STATE ST, SUITE 1502, DRAPER, UT 84020-7125
(801) 571-2200
(801) 816-1048
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
172703-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004464362
AETNA
UT
01
—
870560087
SELECTHEALTH
UT
01
—
870560087-001
MBA
UT
01
—
DE0098
PALMETTO GBA - RAILROAD
UT
Enumeration date
05/19/2006
Last updated
12/29/2011
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