Basic Information
| Provider Information | |||||||||
| NPI: | 1760579585 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HARLAN | ||||||||
| FirstName: | BRIAN | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2950 N CHURCH ST STE 301 | ||||||||
| Address2: | |||||||||
| City: | LAYTON | ||||||||
| State: | UT | ||||||||
| PostalCode: | 840406590 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8017717770 | ||||||||
| FaxNumber: | 8336432775 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 E 100 N | ||||||||
| Address2: | |||||||||
| City: | PAYSON | ||||||||
| State: | UT | ||||||||
| PostalCode: | 846511600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8012993781 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/05/2006 | ||||||||
| LastUpdateDate: | 02/28/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 01079485A | IN | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | 2084P0800X | MD60662872 | WA | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | 2084P0800X | 6626833-1205 | UT | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.