Individual
DR. ALAN E HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
VA ST. LOUIS MEDICAL CENTER, 915 NORTH GRAND BLVD., ST. LOUIS, MO 63106
(314) 652-4100
Mailing address
1370 BOSSLER LN, O FALLON, IL 62269-7128
(618) 304-1158
(618) 624-4934
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036093945
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360939452
—
IL
01
—
1355486
BCBS OF TN
TN
Enumeration date
05/31/2006
Last updated
03/13/2024
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