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Individual

DR. BILL DOUGLAS HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2301 HOUSE AVE STE 502, CHEYENNE, WY 82001-3179
(307) 635-4131
(307) 635-4134
Mailing address
2301 HOUSE AVE STE 502, CHEYENNE, WY 82001-3179
(307) 635-4131
(307) 635-4134

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
7170A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
120815200
WY
01
313039
BCBS OF WYOMING
WY
01
P00143425
RAILROAD MEDICARE
WY
Enumeration date
11/02/2006
Last updated
06/17/2010
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