Individual
TOBEY HARRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 239-8011
(636) 390-7296
Mailing address
869 CASTLE PINES DR, BALLWIN, MO 63021-4456
(636) 227-5708
(636) 227-5708
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R6G56
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124884
BLUE CROSS
MO
05
—
204620611
—
MO
01
—
426403
HEALTHLINK
MO
01
—
930088678
RAILROAD MEDICARE
MO
01
—
947071631
MERCYHEALTH
MO
Enumeration date
06/13/2006
Last updated
07/22/2015
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