Individual
DR. STEPHEN RUSSELL HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2902 W 86TH ST STE 220, INDIANAPOLIS, IN 46268-2196
(317) 343-8607
(877) 473-0054
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02004122A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201121270
—
IN
Enumeration date
08/31/2006
Last updated
02/11/2026
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