Organization
CAMP HILL EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL HARRIS MD (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
503 N 21ST ST, CAMP HILL, PA 17011-2204
(717) 763-2461
(717) 763-3053
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016469770001
—
PA
01
—
1845670
BLUE SHIELD
PA
01
—
50060406
BLUE CROSS
PA
Enumeration date
05/08/2006
Last updated
12/22/2013
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