Individual
WILLIAM P. HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
2220 E BEARDSLEY RD, APT 1120, PHOENIX, AZ 85024-3403
(720) 352-0275
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA01513
NM
390200000X
Student in an Organized Health Care Education/Training Program
RN194871
AZ
Other
Enumeration date
03/17/2016
Last updated
11/15/2017
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