Individual
DR. HARIS RIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 328-6040
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 328-6040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2021012941
MO
207RI0011X
Interventional Cardiology Physician
Primary
2021012941
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2014
Last updated
08/12/2021
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