Individual
EVAN WYNNE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 HEBRON AVE STE 103, GLASTONBURY, CT 06033-5003
(727) 452-8777
Mailing address
7474 GREENWAY CENTER DR STE 1000, GREENBELT, MD 20770-3500
(855) 830-8346
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
ME65745
FL
2085R0204X
Vascular & Interventional Radiology Physician
0101257553
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
53739
CT
Other
Enumeration date
08/05/2006
Last updated
04/03/2018
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