Individual
DR. CHARLES E HARRIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9020
(918) 599-1000
Mailing address
4023 W 104TH PL S, SAPULPA, OK 74066-0613
(918) 869-9952
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5085
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/03/2011
Last updated
07/01/2011
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