Individual
DR. PAUL B HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3243 E MURDOCK, SUITE 404, WICHITA, KS 67208
(316) 685-6222
(316) 685-1273
Mailing address
3243 E MURDOCK, SUITE 404, WICHITA, KS 67208
(316) 685-6222
(316) 685-1273
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-17847
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100081060C
—
KS
01
—
22472
MEDICARE ID
KS
Enumeration date
02/24/2006
Last updated
09/09/2021
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