Individual
DAVE ANDREW HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3660 VISTA, STE 312, ST LOUIS, MO 63110
(314) 977-5110
(314) 268-5111
Mailing address
1008 SOUTH SPRING AVENUE, PROVIDER ENROLLMENT, ST. LOUIS, MO 63110
(314) 977-8884
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
12006502
MO
231H00000X
Audiologist
Primary
2003019973
MO
237600000X
Audiologist-Hearing Aid Fitter
2005034032
MO
Other
Enumeration date
03/10/2006
Last updated
03/05/2021
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