Individual
DAVID M. HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 WESTWOOD MEDICAL PARK, BLUEFIELD, VA 24605-2000
(276) 326-2635
Mailing address
3 WESTWOOD MEDICAL PARK, BLUEFIELD, VA 24605-2000
(276) 326-2635
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101036039
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006541241
—
VA
05
—
0101504000
—
WV
01
—
338096
ANTHEM BLUE CROSS
VA
Enumeration date
10/04/2007
Last updated
03/19/2018
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