Individual
MR. ERIC L HARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 280-4140
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 397-4243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0577
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4992827
WELLMARK BC/BS OF SD
SD
05
—
6827442
—
SD
01
—
9238612
DAKOTACARE
SD
01
—
D24201053195
PREFERRED ONE
SD
Enumeration date
12/21/2005
Last updated
08/06/2021
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