Sam Kistler Harmon

Individual provider Active NPI Independent Duty Corpsman · Newfields, NH

NPI 1487214912 · NPPES record last updated Jun 17, 2019

Key facts

NPI
1487214912
Entity type
Individual (NPI type 1)
Primary specialty
Independent Duty Corpsman 1710I1002X
Practice address
189 Exeter Rd
Newfields, NH 03856-8225
Phone
(760) 625-5634
NPI assigned
Jun 17, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Yes

Addresses

Primary practice location

189 Exeter Rd
Newfields, NH 03856-8225

Mailing address

189 Exeter Rd
Newfields, NH 03856-8225
Phone (760) 625-5634

Other providers in Newfields, NH

All providers in Newfields, NH · Independent Duty Corpsman in New Hampshire

Sources for this page

Verify at the official NPI Registry.