Organization
DR PAUL HARRIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID P HARRIES MD (MEMBER)
(859) 492-1998
Entity
Organization
Contact information
Practice address
4600 W LLOYD EXPY, EVANSVILLE, IN 47712-6517
(812) 450-7246
(812) 450-2228
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300022878
—
IN
01
—
IN4081
MEDICARE PTAN
IN
Enumeration date
01/08/2019
Last updated
11/11/2020
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