Individual
STEVEN VANCE HARRISON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
370 E VIRGINIA AVE STE 100, PHOENIX, AZ 85004-1254
(602) 258-4788
Mailing address
PO BOX 7587, PHOENIX, AZ 85011-7587
(602) 258-4788
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
52074
CA
363AS0400X
Surgical Physician Assistant
Primary
6077
AZ
Other
Enumeration date
10/30/2014
Last updated
10/07/2015
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