Individual
DR. WILLIAM LEE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
10537
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001719599
BLUE CROSS BLUE SHIELD
WV
01
—
001755431
BLUE CROSS BLUE SHILED
WV
01
—
042282
UNITED MINE WORKERS OF AM
WV
01
—
406083603
RAILROAD MEDICARE
WV
01
—
550569719001-WV
WV PUBLIC EMPLOYEES INS A
WV
Enumeration date
11/20/2006
Last updated
07/08/2007
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