Provider Demographics
NPI:1811992928
Name:HARNSBERGER, JANET K (MD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:K
Last Name:HARNSBERGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5770 S 250 E
Mailing Address - Street 2:STE 330
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-8104
Mailing Address - Country:US
Mailing Address - Phone:801-314-4444
Mailing Address - Fax:801-314-4433
Practice Address - Street 1:5770 S 250 E
Practice Address - Street 2:STE 330
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-8104
Practice Address - Country:US
Practice Address - Phone:801-314-4444
Practice Address - Fax:801-314-4433
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT165969-12052080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTG43503Medicare UPIN