Organization
WILLIAM A HARRISON, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY MARIE LEWIS (OFFICE MANAGER)
(505) 565-5512
Entity
Organization
Contact information
Practice address
4705 MONTGOMERY BLVD NE, SUITE 201, ALBUQUERQUE, NM 87109-1226
(505) 888-0443
(505) 205-1057
Mailing address
4705 MONTGOMERY BLVD NE, SUITE 201, ALBUQUERQUE, NM 87109-1226
(505) 888-0443
(505) 205-1057
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
NM79174
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00011841
—
NM
01
—
843
LOVELACE HEALTH PLAN PROV
NM
01
—
NM001175
BCBS PROV NUMBER
NM
01
—
P59294675
MULTI-PLAN PROV NUMBER
NM
Enumeration date
07/06/2006
Last updated
02/05/2008
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