Individual
DR. JUSTIN D. HARRIS
Active
Individual
DR. JUSTIN D. HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
24527
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00902
BCBS
NE
05
—
101086076
—
PA
01
—
470703099
UNITED HEALTHCARE
NE
05
—
47070309913
—
NE
Enumeration date
03/31/2006
Last updated
08/28/2008
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