NATHANIEL SPENCER HARRIMAN

SAN LUIS, AZ
NPI1053862300
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: AZ  6552)
Enumeration Date2016-10-21
Last Update Date2016-12-19
Business Address
-- NATHANIEL SPENCER HARRIMAN M.S.S., PA-C
1896 E BABBITT LN
SAN LUIS, AZ 85349
Phone number: 928-722-6112
Mailing Address
-- NATHANIEL SPENCER HARRIMAN M.S.S., PA-C
PO BOX 1669
SAN LUIS, AZ 85349
Phone number: 928-722-6112