MEDICARE: DR. WENDY TERRYL FINCH HARSHA MD

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
1	208000000X	Pediatrics Physician	35738	AZ

General Provider Information

NPI Number	:	1477523819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WENDY TERRYL FINCH HARSHA MD

Provider Business Mailing Address
First Line	:	690 BARNES BLVD
Second Line	:	MCCHORD MEDICAL CLINIC
City	:	MCCHORD AFB
State	:	WA
Zip	:	98438-1303
Country	:	US
Telephone Number	:	253-982-0328
Fax Number	:	253-982-2339

Provider Business Practice Location Address
First Line	:	690 BARNES BLVD
Second Line	:	MCCHORD MEDICAL CLINIC
City	:	MCCHORD AFB
State	:	WA
Zip	:	98438-1303
Country	:	US
Telephone Number	:	253-982-0328
Fax Number	:	253-982-2339

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	03/17/2010

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