Individual
LESLIE J HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3584 W 9000 S STE 405, WEST JORDAN, UT 84088-5712
(801) 568-3480
(801) 562-3169
Mailing address
PO BOX 150, WEST JORDAN, UT 84084-0150
(801) 601-2825
(801) 562-3169
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
280706-8905
UT
Other
Enumeration date
07/27/2006
Last updated
07/02/2008
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