Individual
JOHN W HARRIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-P
Contact information
Practice address
497 S COLOROW WAY, SALT LAKE CITY, UT 84108
(801) 588-4980
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84128-0128
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
262032-4405
UT
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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