Individual
PAUL M. HARNETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6000
(307) 233-6089
Mailing address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6000
(307) 233-6089
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
052951
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031732414B
—
GA
Enumeration date
05/23/2006
Last updated
09/07/2012
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