person
Nathaniel Spencer Harriman, MSS,PA-C
Medical Physician Assistant in San Luis, Arizona
NPI 1053862300

Nathaniel Spencer Harriman is a Medical Physician Assistant based in San Luis, AZ and is specialized in Medical. Nathaniel Spencer Harriman practices in San Luis, AZ and has the professional credentials of MSS,PA-C. The NPI Number for Nathaniel Spencer Harriman is 1053862300 and holds a License No. 6552 (Arizona).

The current practice location address for Nathaniel Spencer Harriman is 1896 E Babbitt Ln, San Luis, AZ and can be reached out via phone at 928-722-6112 and via fax at 928-722-6113.

Location: 1896 E Babbitt Ln, San Luis, AZ, 85349
person
Provider Profile Details
NPI Number
1053862300
Provider Name
Nathaniel Spencer Harriman
Credential
MSS,PA-C
Provider Entity Type
Individual
Gender
Male
Address
1896 E Babbitt Ln, San Luis, AZ, 85349
Phone Number
928-722-6112
Fax Number
928-722-6113
Provider Enumeration Date
10/21/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
190373 05 AZ
institution
Provider Business Practice Location Address Details
Address
1896 E Babbitt Ln
City
State
Zip
85349
Phone Number
928-722-6112
Fax Number
928-722-6113
person
Provider Business Mailing Address Details
Address
1896 E Babbitt Ln
City
State
Zip
85349
Phone Number
928-722-6112
Fax Number
928-722-6113
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
6552 (Arizona)
Definition
Definition to come...
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