Individual
DR. FREDERICK D. HARRIS JR.
Active
Individual
DR. FREDERICK D. HARRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2005036999
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-107646
IL BLUE CROSS BLUE SHIELD
IL
01
—
063896
HEALTH ALLIANCE
—
01
—
123361
HEALTHLINK
—
01
—
185214
MO BLUE CROSS BLUE SHIELD
MO
05
—
207216201
—
MO
01
—
430954380CAP
MERCY HEALTH PLAN
—
Enumeration date
08/01/2006
Last updated
05/05/2021
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