Individual provider · Type 1 NPI
Michael Sean Harlan, PA-C
Surgical Physician Assistant · Roy, UT
NPI number
1760673115
Active
Practice location
4932 S 3425 W
Roy, UT 84067-8656
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | 57954461206 (UT) |
Surgical Physician Assistant: Definition to come...
About NPI 1760673115
Michael Sean Harlan, PA-C's National Provider Identifier is 1760673115, issued on Aug 8, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Roy, UT. The record was last updated on Jun 19, 2014.