Individual
MR. WILLIAM HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
13400 E. SHEA BLVD, SCOTTSDALE, AZ 85259-4527
(480) 301-8000
Mailing address
13400 E. SHEA BLVD, SCOTTSDALE, AZ 85259-4527
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0504
AZ
367500000X
Certified Registered Nurse Anesthetist
R826578
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44549732
TRICARE
—
01
—
640942692
BLUE CROSS OF MS
—
01
—
P00185927
RAILROAD MEDICARE
—
05
—
WH00122136
—
MS
Enumeration date
02/23/2007
Last updated
06/16/2021
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