Healthcare Provider Details

I. General information

NPI: 1275520298
Provider Name (Legal Business Name): JEFFREY DAVID HARNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 10/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 MONUMENT RD SUITE 201
YORK PA
17403-5074
US

IV. Provider business mailing address

3421 CONCORD RD
YORK PA
17402-9001
US

V. Phone/Fax

Practice location:
  • Phone: 717-812-4083
  • Fax: 717-812-2244
Mailing address:
  • Phone: 717-812-4083
  • Fax: 717-812-2244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD0028553
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: