Provider Demographics
NPI:1366503161
Name:SCHALESKY, HARLEY G (MD)
Entity Type:Individual
Prefix:DR
First Name:HARLEY
Middle Name:G
Last Name:SCHALESKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7441 E CALLE TOLUCA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-3745
Mailing Address - Country:US
Mailing Address - Phone:520-751-4104
Mailing Address - Fax:
Practice Address - Street 1:2174 W OAK AVE
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:AZ
Practice Address - Zip Code:85607-6003
Practice Address - Country:US
Practice Address - Phone:520-364-7931
Practice Address - Fax:520-364-2551
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ32646207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZA41022Medicare UPIN