Individual
DR. JOHN DERRICK HARNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2040 WOODSON RD, SUITE 202, OVERLAND, MO 63114-5606
(314) 473-1296
(314) 558-7575
Mailing address
2040 WOODSON RD, SUITE 202, OVERLAND, MO 63114-5606
(314) 473-1296
(314) 558-7575
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2004024287
MO
Other
Enumeration date
08/11/2005
Last updated
04/01/2015
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