Healthcare Provider Details

I. General information

NPI: 1457934838
Provider Name (Legal Business Name): DONALD MARIO ROBERT HARKER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2021
Last Update Date: 07/26/2025
Certification Date: 07/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 LONGLEY LN
RENO NV
89511-2632
US

IV. Provider business mailing address

2375 E PRATER WAY
SPARKS NV
89434-9665
US

V. Phone/Fax

Practice location:
  • Phone: 775-799-7320
  • Fax:
Mailing address:
  • Phone: 775-352-5301
  • Fax: 775-610-8783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25741
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number25741
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: