Individual
DR. JASON JAMES HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1008 EASTVIEW AVE STE 6, OKOBOJI, IA 51355-2602
(712) 332-7477
(712) 332-6023
Mailing address
1008 EASTVIEW AVE STE 6, P.O. BOX 551, OKOBOJI, IA 51355-2602
(712) 332-7477
(712) 332-6023
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06470
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44033
BLUE CROSS BLUE SHIELD #
IA
Enumeration date
10/13/2006
Last updated
07/08/2007
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