Individual
JEFFREY NATHAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-9612
Mailing address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101244995
VA
207P00000X
Emergency Medicine Physician
Primary
15346
NV
2083A0100X
Aerospace Medicine Physician
15346
NV
Other
Enumeration date
01/10/2007
Last updated
08/12/2021
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