Individual
DR. ELIZABETH AVIS HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4488 FOREST PARK AVE, STE 230, SAINT LOUIS, MO 63108-2283
(314) 535-7855
(314) 534-2803
Mailing address
PO BOX 7412021, CHICAGO, IL 60674-2021
(314) 535-7855
(314) 534-2803
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2009012114
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
2009012114
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204207906
—
MO
Enumeration date
02/04/2008
Last updated
04/18/2025
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