Individual
JAMES W HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
7827 TOWN SQUARE AVE STE 104, O FALLON, MO 63368-7199
(636) 734-0386
Mailing address
7048 MIDDLEVALLEY WALK, SAINT LOUIS, MO 63123-2417
(314) 775-1224
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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