Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 2052 | ME |
N | 207Q00000X | Family Doctor | 2052 | ME |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 2052 | ME |
NPI | 1205943388 |
---|---|
Provider Name | Nathan R Harmon |
First Address | Augusta, ME 04330-6606 |
Second Address | Augusta, ME 04330-6606 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2006 |
Last Update Date | 16/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
432681999 | (05) | ME |