Individual
JAMIE DOST HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
817 S MOUNT AUBURN RD, SUITE 100, CAPE GIRARDEAU, MO 63703-6383
(573) 519-4500
(573) 519-4530
Mailing address
817 S MOUNT AUBURN RD, SUITE 100, CAPE GIRARDEAU, MO 63703-6383
(573) 519-4500
(573) 519-4530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2008015975
MO
207Q00000X
Family Medicine Physician
Primary
2011002805
MO
Other
Enumeration date
06/27/2008
Last updated
04/02/2013
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