Individual
DR. ADAM DAVID HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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