| NPI | 1174769301 |
|---|---|
| Other Name | COREY EVAN HARTHOORN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 21459) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 57802) |
| 207Q00000X Family Medicine (Licence: IA MD-45813) | |
| 207Q00000X Family Medicine (Licence: MN 64844) | |
| 207Q00000X Family Medicine (Licence: ME MD22777) | |
| 207Q00000X Family Medicine (Licence: KS 04-41727) | |
| 207Q00000X Family Medicine (Licence: IL 036147964) | |
| 207Q00000X Family Medicine (Licence: UT 11090546-1205) | |
| 207Q00000X Family Medicine (Licence: SD 11396) | |
| 207Q00000X Family Medicine (Licence: CO CDR.0000260) | |
| 207Q00000X Family Medicine (Licence: WA MD60921102) | |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2019-10-21 |