Organization
TIMOTHY P HARRIS, DO
Active
Other names
Twin Rivers Surgical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY PAUL HARRIS D.O. (OWNER)
(620) 342-6161
Entity
Organization
Contact information
Practice address
1301 W 12TH AVE, SUITE 207, EMPORIA, KS 66801-2587
(620) 342-6161
(620) 342-0087
Mailing address
1301 W 12TH AVE, SUITE 207, EMPORIA, KS 66801-2587
(620) 342-6161
(620) 342-0087
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0521008
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020015054
RAILROAD MEDICARE
—
05
—
100231930A
—
KS
Enumeration date
05/24/2007
Last updated
06/16/2008
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