Individual
COLLETTE ROCHELLE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2025 W NORTHERN AVE, PHOENIX, AZ 85021-5157
(602) 655-6300
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
65025
AZ
207Q00000X
Family Medicine Physician
Primary
MD047731
DC
207Q00000X
Family Medicine Physician
MD60748512
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD047731
DC DOH
DC
Enumeration date
04/01/2015
Last updated
03/07/2023
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