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NPI Code Detail

MEDICARE: DR. MATTHEW BRET HARRISON D.O.

MEDICARE: DR. MATTHEW BRET HARRISON D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician46382CO
2207Q00000XFamily Medicine Physician036150921IL

General Provider Information

NPI Number : 1235171463
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW BRET HARRISON D.O.
Provider Business Mailing Address
First Line : 601 HIGHWAY 6 W
Second Line :
City : IOWA CITY
State : IA
Zip : 52246-2209
Country : US
Telephone Number : 800-637-0128
Fax Number :
Provider Business Practice Location Address
First Line : 6020 BROADWAY ST
Second Line :
City : QUINCY
State : IL
Zip : 62305-7919
Country : US
Telephone Number : 217-224-3366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 10/02/2023

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