Individual
DR. HOADLEY HOWE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3290 20TH ST S, FARGO, ND 58104-5917
(701) 499-4807
(701) 451-9452
Mailing address
3290 20TH ST S, FARGO, ND 58104-5917
(701) 499-4800
(701) 451-9452
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20110
AZ
207Q00000X
Family Medicine Physician
29469
MN
207Q00000X
Family Medicine Physician
Primary
5224
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068K6HA
MN BLUE SHIELD
MN
05
—
16642
—
ND
05
—
796768300
—
MN
01
—
HAR23165
ND BLUE SHIELD
ND
Enumeration date
06/09/2005
Last updated
10/15/2010
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