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NPI Code Detail

MEDICARE: DR. HOADLEY HOWE HARRIS M.D.

MEDICARE:  DR. HOADLEY HOWE HARRIS  M.D.
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 Physician5224ND
2207Q00000XFamily Medicine Physician29469MN
3207Q00000XFamily Medicine Physician20110AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HAR23165OTHERNDND BLUE SHIELD
2068K6HAOTHERMNMN BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811991607
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOADLEY HOWE HARRIS M.D.
Provider Business Mailing Address
First Line : 3290 20TH ST S
Second Line :
City : FARGO
State : ND
Zip : 58104-5917
Country : US
Telephone Number : 701-499-4800
Fax Number : 701-451-9452
Provider Business Practice Location Address
First Line : 3290 20TH ST S
Second Line :
City : FARGO
State : ND
Zip : 58104-5917
Country : US
Telephone Number : 701-499-4807
Fax Number : 701-451-9452
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 10/15/2010

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Directions to “ DR. HOADLEY HOWE HARRIS M.D.” Practice Location

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