Individual
MURRAY T HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1940 W PRATT DR, FAYETTEVILLE, AR 72701-4871
(479) 841-0028
Mailing address
PO BOX 1786, FAYETTEVILLE, AR 72702-1786
(479) 442-6266
(479) 521-3877
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C-4204
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100078850B
—
OK
05
—
106364001
—
AR
01
—
52174
AR BC/BS
AR
01
—
P00190399
RR MCR
AR
Enumeration date
06/15/2006
Last updated
02/17/2023
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