Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 35.140135 | OH |
N | 207YS0123X | Facial Plastic Surgeon | 54193 | KY |
NPI | 1477963304 |
---|---|
Provider Name | Dr. Jeffrey Joseph Harmon JR. |
First Address | Cincinnati, OH 45208-2207 |
Second Address | Cincinnati, OH 45208-2207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2014 |
Last Update Date | 05/04/2021 |