Individual
BRIAN T. HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 SOUTH BLISS AVENUE, TAHLEQUAH, OK 74464
(918) 458-3360
(918) 458-3511
Mailing address
100 SOUTH BLISS AVENUE, TAHLEQUAH, OK 74464
(918) 458-3360
(918) 458-3511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4413
OK
207P00000X
Emergency Medicine Physician
4413
OK
Other
Enumeration date
03/06/2007
Last updated
12/29/2011
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