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NPI Code Detail

MEDICARE: MR. MICHAEL W HARMON MD

MEDICARE: MR. MICHAEL W HARMON 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
12085U0001XDiagnostic Ultrasound PhysicianG71219CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G71219OTHERCALICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477551216
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL W HARMON MD
Provider Business Mailing Address
First Line : PO BOX 368
Second Line :
City : BLUE LAKE
State : CA
Zip : 95525-0368
Country : US
Telephone Number : 707-668-5743
Fax Number : 707-668-5873
Provider Business Practice Location Address
First Line : 2700 DOLBEER ST
Second Line :
City : EUREKA
State : CA
Zip : 95501-4736
Country : US
Telephone Number : 707-269-4229
Fax Number : 707-269-3849
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 07/19/2012

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