Individual
CODY JORDAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
970 S PROSPECT ST, MARION, OH 43302-6225
(740) 382-9293
Mailing address
376 BENJAMIN ST, DELAWARE, OH 43015-7523
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
OH
Other
Enumeration date
04/12/2018
Last updated
03/26/2022
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