Individual
STEPHEN L HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
116 MCCLELLAN RD, PHILIPPI, WV 26416-8076
(304) 457-2800
(304) 457-4011
Mailing address
116 MCCLELLAN RD, PHILIPPI, WV 26416-8076
(304) 457-2800
(304) 457-4011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
891
WV
363AM0700X
Medical Physician Assistant
891
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0043142000
—
WV
Enumeration date
09/20/2006
Last updated
10/31/2023
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