Individual
THOMAS HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 W KIMBERLY RD, DAVENPORT, IA 52806-3059
(563) 421-0010
Mailing address
3200 W KIMBERLY RD, DAVENPORT, IA 52806-3059
(563) 421-0010
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
72740-20
WI
208000000X
Pediatrics Physician
Primary
MD-49988
IA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/10/2018
Last updated
08/28/2022
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