Individual
DR. PATRICK B. HARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22361 OAK RIDGE DR, SHELL KNOB, MO 65747-7822
(417) 858-3731
(417) 858-2562
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
32405
MO
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
32405
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0991927
—
IA
05
—
1174527873
—
MO
05
—
194179001
—
AR
01
—
431560263
TRICARE
MO
01
—
P01091570
RR MCR
MO
Enumeration date
06/09/2005
Last updated
11/30/2012
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