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NPI Code Detail

MEDICARE: DOCTORS HARBISON PLLC

MEDICARE: DOCTORS HARBISON PLLC
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
1111NI0013XIndependent Medical Examiner Chiropractor
2111N00000XChiropractor

General Provider Information

NPI Number : 1972283125
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOCTORS HARBISON PLLC
Provider Business Mailing Address
First Line : 2626 S RAINBOW BLVD STE 109
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-5190
Country : US
Telephone Number :
Fax Number : 618-254-8476
Provider Business Practice Location Address
First Line : 2626 S RAINBOW BLVD STE 109
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-5190
Country : US
Telephone Number : 702-675-4500
Fax Number : 618-254-8476
Authorized Official
Title or Position : OWNER
Name : DR. MICHAEL HARBISON
Credential : DC
Telephone Number : 217-316-2018
Provider Enumeration Date : 07/21/2023
Last Update Date : 07/21/2023

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Directions to “DOCTORS HARBISON PLLC ” Practice Location

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