Individual
MR. JOHN DAVID HARRIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 N MARTIN LUTHER KING BLVD, CLOVIS, NM 88101
(505) 769-7257
(505) 769-7243
Mailing address
PO BOX 1225, CLOVIS, NM 88102-1225
(505) 769-7257
(505) 769-7243
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2272A
WY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
8944
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16545
—
NM
Enumeration date
08/19/2005
Last updated
07/08/2007
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