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Contact Information

DAVID P HARRIES, MD
709 4TH AVE NE
PAIN MANAGEMENT CLINIC
WATFORD CITY, ND58854-7628
 Phone: 701-842-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for DAVID P HARRIES · (Male)

NPI # 1104924109
Status Active
Credentials MD
Entity Individual
Enumeration date 09/21/2006
Last updated 10/22/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 210437
  • IN License # 01081532A
  • KY License # 37745
  • ND License # 21630
  • IN Medicaid 300022878
  • KY Medicaid 64070550
  • IN Other IN4081001 MEDICARE PTAN
  • KY Other 00188001 MEDICARE PTAN
Hospital affiliation(s)
  • DEACONESS HOSPITAL INC - (Acute Care)
    600 MARY ST
    EVANSVILLE, IN 47747
  • METHODIST HOSPITAL - (Acute Care)
    1305 N ELM ST
    HENDERSON, KY 42420
  • T J SAMSON COMMUNITY HOSPITAL - (Acute Care)
    1301 NORTH RACE STREET
    GLASGOW, KY 42141
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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