Individual
JEFFREY D HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2531 S BIG BEND BLVD, SUITE 1, SAINT LOUIS, MO 63143-2105
(314) 647-7801
Mailing address
11222 TESSON FERRY RD, SUITE 100, SAINT LOUIS, MO 63123-6963
(314) 843-1866
(314) 843-7484
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
36609
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202549523
—
MO
Enumeration date
02/03/2006
Last updated
02/04/2010
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