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Individual

MR. THOMAS ALCOTT HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.A.-C

Contact information

Practice address
8167 S HIGH RD, HEREFORD, AZ 85615-9678
(520) 456-7263
Mailing address
8167 S HIGH RD, HEREFORD, AZ 85615-9678
(520) 456-7263

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1986
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
272556
HEALTHNET
05
398348
AZ
Enumeration date
06/06/2006
Last updated
06/10/2020
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