Individual
DR. ADAM DAVID HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8573 E PRINCESS DR, SUITE B-215, SCOTTSDALE, AZ 85255-7819
(480) 563-5757
(480) 563-5851
Mailing address
8573 E PRINCESS DR, SUITE B-215, SCOTTSDALE, AZ 85255-7819
(480) 563-5757
(480) 563-5851
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
50708
AZ
207RG0100X
Gastroenterology Physician
MD12650
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040926
—
AZ
01
—
758535
MEDICAID GRP
AZ
01
—
Z102830
MDCR GRP PTAN
AZ
Enumeration date
08/14/2007
Last updated
04/04/2016
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