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Organization

ROBERT B HARRIS MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT BOATWRIGHT HARRIS M.D. (OWNER/PHYSICIAN)
(334) 386-4701
Entity
Organization

Contact information

Practice address
1801 PINE STREET, SUITE 202, MONTGOMERY, AL 36106-1154
(334) 386-4701
(334) 265-0070
Mailing address
1801 PINE STREET, SUITE 202, MONTGOMERY, AL 36106-1154
(334) 386-4701
(334) 265-0070

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00019179
AL
208600000X
Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102182
AL
Enumeration date
04/16/2008
Last updated
04/24/2013
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