Individual
MR. ERIC HARALSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
270 W LAKE MEAD PKWY, HENDERSON, NV 89015-7093
(702) 677-3720
(702) 677-3733
Mailing address
6803 W TROPICANA AVE, STE 100, LAS VEGAS, NV 89103-4927
(702) 452-2526
(702) 452-2525
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0321
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871961797
—
NV
01
—
P01700941
RAILROAD MEDICARE
NV
Enumeration date
09/09/2015
Last updated
09/05/2017
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