Individual
DR. RICHARD WAYNE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2380 W HORIZON RIDGE PKWY, SUITE 110, HENDERSON, NV 89052-5078
(702) 576-9608
Mailing address
4301 N STAR WAY, MODESTO, CA 95356-9262
(209) 342-2300
(209) 524-4240
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.119357
IL
207P00000X
Emergency Medicine Physician
14479
NV
207P00000X
Emergency Medicine Physician
4301093310
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036119357
—
IL
Enumeration date
06/28/2007
Last updated
04/06/2015
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