Individual
MICHAEL W. HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3325 N UNIVERSITY AVE, SUITE 100, PROVO, UT 84604-4465
(801) 377-3933
(801) 377-2779
Mailing address
3325 N UNIVERSITY AVE, SUITE 100, PROVO, UT 84604-4465
(801) 377-3933
(801) 377-2779
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
180412-1204
UT
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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