Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 16183 | CA |
NPI | 1720080021 |
---|---|
Provider Name | Ronald Dean Harman |
First Address | San Mateo, CA 94402-2433 |
Second Address | San Mateo, CA 94402-2433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2005 |
Last Update Date | 23/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DC0161830 | (02) | CA |