Individual
DR. JEFFREY SCOTT HARRIS
Active
Individual
DR. JEFFREY SCOTT HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DO 36996
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346386752
—
MO
05
—
139351003
—
AR
01
—
431560263
TRICARE
MO
Enumeration date
01/30/2007
Last updated
11/14/2019
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