Individual
STEPHEN HARRIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5100 EASTERN AVE, BALTIMORE, MD 21224-2772
(410) 814-4500
Mailing address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4349
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C05544
MD
Other
Enumeration date
09/15/2014
Last updated
11/28/2023
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