Individual
DANIEL CHRISTOPHER HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2410 N COMMERCE ST, ARDMORE, OK 73401-1356
(580) 226-0812
(580) 226-0820
Mailing address
2410 N COMMERCE ST, ARDMORE, OK 73401-1356
(580) 226-0812
(580) 226-0820
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23380
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200044120A
—
OK
01
—
23380
OKLAHOMA LICENSE
OK
Enumeration date
05/10/2006
Last updated
05/27/2020
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