Organization
HEATHER HARRISON, D.O., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER R. HARRISON D.O. (PHYSICIAN/OWNER)
(801) 373-2001
Entity
Organization
Contact information
Practice address
1959 N STATE ST, PROVO, UT 84604-1012
(801) 373-2001
(801) 373-4748
Mailing address
1959 N STATE ST, PROVO, UT 84604-1012
(801) 373-2001
(801) 373-4748
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5960238-1204
UT
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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