Organization
JOHN E HARRIS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E HARRIS MD (PHYSICIAN)
(870) 534-0202
Entity
Organization
Contact information
Practice address
1801 W 40TH AVE, SUITE 5C, PINE BLUFF, AR 71603-6940
(870) 534-0202
(870) 534-8836
Mailing address
1801 W 40TH AVE, SUITE 5C, PINE BLUFF, AR 71603-6940
(870) 534-0202
(870) 534-8836
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E1963
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143810002
—
AR
Enumeration date
03/14/2008
Last updated
03/14/2008
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