Individual
DR. JOHN ALTON HARRIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3106 OLD POND RD, MISSOULA, MT 59802-3255
(406) 728-6615
Mailing address
3106 OLD POND RD, MISSOULA, MT 59802-3255
(406) 728-6615
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MED-PHYS-LIC-3760
MT
Other
Enumeration date
07/23/2017
Last updated
07/21/2022
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