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Individual

CAITLIN K HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
4000 MIAMISBURG CENTERVILLE RD, SUITE 450, MIAMISBURG, OH 45342-7615
(937) 439-3600
(937) 439-3786
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1305
(937) 522-7513

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34.010710
OH
208M00000X
Hospitalist Physician
Primary
34.010710
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0076069
OH
Enumeration date
06/19/2009
Last updated
01/25/2021
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