Individual
MICHAEL ANTHONY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 15TH AVE SE, PUYALLUP, WA 98372-3750
(253) 697-1310
Mailing address
400 15TH AVE SE, PUYALLUP, WA 98372-3750
(253) 697-1310
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
G47100
CA
207RH0003X
Hematology & Oncology Physician
Primary
MD60082175
WA
Other
Enumeration date
01/29/2007
Last updated
10/08/2012
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