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Organization
HARRIS FAMILY MEDICINE, PLLC
Active
Organization
HARRIS FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN HARRIS MD (OWNER/PHYSICIAN)
(870) 215-1601
Entity
Organization
Contact information
Practice address
630 W COURT ST STE B, PARAGOULD, AR 72450-4247
(870) 236-6911
Mailing address
630 W COURT ST STE B, PARAGOULD, AR 72450-4247
(870) 236-6911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-12415
MEDICAL LICENSE
AR
Enumeration date
07/22/2019
Last updated
07/22/2019
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