Individual
MR. CHRISTOPHER MAURICE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2 SAINT VINCENT CIR, LITTLE ROCK, AR 72205-5423
(501) 626-8961
Mailing address
P.O. BOX 1515, DURANT, OK 74702-1515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA-902
AR
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
PA-902
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
AR
Other
Enumeration date
02/14/2019
Last updated
09/24/2020
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