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Individual

MR. STEPHEN C HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BC-HIS

Contact information

Practice address
921 BLAIRS FERRY RD NE, STE 110, CEDAR RAPIDS, IA 52402
(319) 378-8077
(319) 393-0895
Mailing address
921 BLAIRS FERRY RD NE, STE 110, CEDAR RAPIDS, IA 52402
(319) 378-8077
(319) 393-0895

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
00765
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0446724
IA
Enumeration date
12/28/2006
Last updated
04/03/2020
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