Individual
DR. ANDRE TODD HARRIS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ELIZABETH PL, 5TH FLR, STE. M, DAYTON, OH 45417-3445
(937) 228-4942
Mailing address
1 ELIZABETH PL, 5TH FLOOR, STE. M, DAYTON, OH 45417-3445
(937) 228-4942
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35086818
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2649405
—
OH
Enumeration date
02/07/2006
Last updated
06/08/2011
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