Individual
DR. MICAH STEPHEN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7342 E THOMAS RD STE 105, SCOTTSDALE, AZ 85251-7243
(480) 821-3600
(480) 857-2667
Mailing address
PO BOX 6730, CHANDLER, AZ 85246-6730
(480) 821-3600
(480) 857-2667
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21602
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142795
AHCCCS IDENTIFIER
AZ
01
—
CB2763
MEDICARE RAILROAD GROUP
AZ
Enumeration date
05/24/2005
Last updated
11/22/2023
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