Individual
DR. DAVID W. HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1803 N ESTRADA, MESA, AZ 85207-4017
(480) 854-3707
(480) 854-3707
Mailing address
1803 N ESTRADA, MESA, AZ 85207-4017
(480) 854-3707
(480) 854-3707
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
25099
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01172162
—
CO
Enumeration date
04/04/2006
Last updated
12/31/2011
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