Provider Demographics
NPI:1396906996
Name:HARFORD, MARTIN SCOTT (MD)
Entity type:Individual
Prefix:
First Name:MARTIN
Middle Name:SCOTT
Last Name:HARFORD
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 1:504 MOUNTAIN EDGE
Mailing Address - Street 2:
Mailing Address - City:VAN BUREN
Mailing Address - State:AR
Mailing Address - Zip Code:72956-9057
Mailing Address - Country:US
Mailing Address - Phone:479-462-4183
Mailing Address - Fax:
Practice Address - Street 1:504 MOUNTAIN EDGE
Practice Address - Street 2:
Practice Address - City:VAN BUREN
Practice Address - State:AR
Practice Address - Zip Code:72956-9057
Practice Address - Country:US
Practice Address - Phone:479-462-4183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-6783208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice