Provider Demographics
NPI:1265437503
Name:HARSHFIELD, DAVID LEE JR (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LEE
Last Name:HARSHFIELD
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:301 N SHACKLEFORD RD STE B4
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-2882
Mailing Address - Country:US
Mailing Address - Phone:501-312-9990
Mailing Address - Fax:501-312-9991
Practice Address - Street 1:301 N SHACKLEFORD RD STE B4
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-2882
Practice Address - Country:US
Practice Address - Phone:501-312-9990
Practice Address - Fax:501-312-9991
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-14
Last Update Date:2010-05-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARC59272085R0202X
NY2483942085R0202X
MO20070124992085R0202X
NV124782085R0202X
FLME 1037642085R0202X
TXN37182085R0202X
OH35-0806332085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR105386001Medicaid
B90270Medicare UPIN
AR52213Medicare PIN