institution
John Wyatt Harrison Md Pc
Specialist in Phoenix, Arizona
NPI 1518991702

John Wyatt Harrison Md Pc is a Specialist based in Phoenix, AZ. John Wyatt Harrison Md Pc practices in Phoenix, AZ. The NPI Number for John Wyatt Harrison Md Pc is 1518991702 and holds a License No. 35565 (Arizona).

The current practice location address for John Wyatt Harrison Md Pc is 1930 E Thomas Road, Phoenix, AZ and can be reached out via phone at 480-596-8525 and via fax at 480-596-8522.

Location: 1930 E Thomas Road, Phoenix, AZ, 85068-6904
institution
Provider Profile Details
NPI Number
1518991702
Provider Name
John Wyatt Harrison Md Pc
Credential
Provider Entity Type
Organization
Address
1930 E Thomas Road, Phoenix, AZ, 85068-6904
Phone Number
480-596-8525
Fax Number
480-596-8522
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00343000 01 RAILROAD MEDICARE
0445150 01 AZ BLUE CROSS BLUE SHIELD
ZB0974 01 AZ HEALTHNET
115520 05 AZ
institution
Provider Business Practice Location Address Details
Address
1930 E Thomas Road
City
State
Zip
85016-7711
Phone Number
480-596-8525
Fax Number
480-596-8522
person
Provider Business Mailing Address Details
Address
1930 E Thomas Road
City
State
Zip
85016-7711
Phone Number
480-596-8525
Fax Number
480-596-8522
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
35565 (Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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