Provider Demographics
NPI:1750627824
Name:STRATTON, HARLAN THOMAS (MD)
Entity type:Individual
Prefix:
First Name:HARLAN
Middle Name:THOMAS
Last Name:STRATTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9398 E CALLE DE LAS BRISAS
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-4336
Mailing Address - Country:US
Mailing Address - Phone:480-219-3228
Mailing Address - Fax:480-219-4647
Practice Address - Street 1:9398 E CALLE DE LAS BRISAS
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-4336
Practice Address - Country:US
Practice Address - Phone:480-993-7125
Practice Address - Fax:480-219-4647
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ29403207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN14812Medicare UPIN