Individual
JAMIE C HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125060960
IL
208600000X
Surgery Physician
35.148310
OH
208600000X
Surgery Physician
63979
AZ
2086S0120X
Pediatric Surgery Physician
Primary
63979
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096671
—
AZ
Enumeration date
06/07/2012
Last updated
08/01/2023
Update your record
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