Individual
STEPHEN M. HARRIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.A-C
Contact information
Practice address
5601 LOCH RAVEN BLVD, P.O.B- SUITE G1, BALTIMORE, MD 21239-2905
(410) 532-4730
(410) 532-4752
Mailing address
5601 LOCH RAVEN BLVD, P.O.B- SUITE G1, BALTIMORE, MD 21239-2905
(410) 532-4730
(410) 532-4752
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002519
MD
Other
Enumeration date
05/30/2006
Last updated
07/08/2007
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