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Individual

TODD J HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
12300 MCCRACKEN RD, GARFIELD HEIGHTS, OH 44125-2914
(216) 581-0500
Mailing address
1384 CHURCHILL RD, LYNDHURST, OH 44124-1354

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001481
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0093479
OH
Enumeration date
02/27/2007
Last updated
07/27/2021
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