Individual
SCOTT J HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
874 AMERICAN PACIFIC DR, HENDERSON, NV 89014-8800
(702) 777-4809
(702) 777-4822
Mailing address
874 AMERICAN PACIFIC DR, HENDERSON, NV 89014-8800
(702) 777-1824
(702) 777-1819
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
734
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942273099
—
NV
05
—
2019671
—
NV
01
—
V24262
LAB
NV
01
—
V30666
MEDICARE GROUP
NV
Enumeration date
02/09/2006
Last updated
07/05/2012
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