Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 2085 | AL |
NPI | 1346269040 |
---|---|
Provider Name | Mr. Donovan Harper |
First Address | Bessemer, AL 35022-5283 |
Second Address | Bessemer, AL 35022 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 10/07/2018 |