Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MT216196 | PA |
NPI | 1003309121 |
---|---|
Provider Name | Harrison Courie |
First Address | Bedford Hts, OH 44146-1862 |
Second Address | Bethlehem, PA 18015-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2018 |
Last Update Date | 13/06/2018 |