Individual
DR. NEDRA J HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD FACS
Contact information
Practice address
9220 E MOUNTAIN VIEW RD STE 102, SCOTTSDALE, AZ 85258-5134
(480) 470-6888
(833) 640-8848
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 395-0718
(602) 277-8146
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
28264
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3721790
CIGNA
AZ
01
—
5250332
AETNA
AZ
01
—
P01554248
RR MEDICARE
AZ
Enumeration date
10/27/2006
Last updated
10/28/2020
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