Individual
MARK J HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 E. OVERLAND RD., MERIDIAN, ID 83642
(208) 884-1333
(208) 489-4015
Mailing address
600 W ROBBINS RD STE 300, BOISE, ID 83702-4568
(208) 884-1333
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
M9811
ID
Other
Enumeration date
02/07/2007
Last updated
12/15/2020
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