Individual
MATTHEW DAVID HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 962-3030
Mailing address
1010 N KANSAS ST, WICHITA, KS 67214-3124
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6362
KS
Other
Enumeration date
05/03/2007
Last updated
03/18/2008
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