Individual
SHIRLEY DENISE HARRIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-2600
Mailing address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200404011000
MO
Other
Enumeration date
04/17/2006
Last updated
07/08/2007
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