Individual
DR. THOMAS J HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4525 MID RIVERS MALL DR, SUITE 20, COTTLEVILLE, MO 63376-2820
(636) 441-5437
(636) 441-4398
Mailing address
4525 MID RIVERS MALL DR, SUITE 20, COTTLEVILLE, MO 63376-2820
(636) 441-5437
(636) 441-4398
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R1C73
MO
Other
Enumeration date
02/16/2006
Last updated
01/23/2015
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