Individual
DR. RYAN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 W COURT ST STE B, PARAGOULD, AR 72450-4247
(870) 236-6911
Mailing address
630 W COURT ST STE B, PARAGOULD, AR 72450-4247
(870) 236-6911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
E-12415
AR
207Q00000X
Family Medicine Physician
Primary
TRN23601
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-12415
MEDICAL LICENSE
AR
Enumeration date
06/26/2016
Last updated
07/19/2019
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