Individual
MR. DANIEL L HARRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2115 PARKVIEW DR, EL RENO, OK 73036
(405) 262-2640
Mailing address
2115 PARKVIEW DR, EL RENO, OK 73036-2109
(405) 262-2640
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002141
CT
363A00000X
Physician Assistant
Primary
2301
OK
Other
Enumeration date
09/05/2008
Last updated
07/17/2018
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