| Heather Harrison, D.o., Pllc | |
|
1959 N State St Provo UT 84604-1012 | |
| (801) 373-2001 | |
| (801) 373-4748 |
| Full Name | Heather Harrison, D.o., Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1959 N State St, Provo, Utah |
| Authorized Official Name and Position | Heather R. Harrison (PHYSICIAN/OWNER) |
| Authorized Official Contact | 8013732001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Harrison, D.o., Pllc 1959 N State St Provo UT 84604-1012 Ph: (801) 373-2001 | Heather Harrison, D.o., Pllc 1959 N State St Provo UT 84604-1012 Ph: (801) 373-2001 |
| NPI Number | 1881881993 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 10/02/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881881993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5960238-1204 (Utah) | Primary |
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