Individual
JONATHAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13657 W MCDOWELL RD STE 207, GOODYEAR, AZ 85395-2603
(623) 748-9165
(623) 748-9734
Mailing address
13657 W MCDOWELL RD STE 207, GOODYEAR, AZ 85395-2603
(623) 748-9165
(623) 748-9734
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7109
AZ
Other
Enumeration date
07/06/2018
Last updated
06/29/2023
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