Individual
DR. TED A HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 SOUTH 65 HIGHWAY, MARSHALL, MO 65340-3702
(660) 886-6677
(660) 886-3346
Mailing address
2301 SOUTH 65 HIGHWAY, MARSHALL, MO 65340-3702
(660) 886-6677
(660) 886-3346
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2011010497
MO
207V00000X
Obstetrics & Gynecology Physician
22265
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124882
HEALTH ALLIANCE
—
01
—
421527584-19
JOHN DEERE
—
Enumeration date
04/18/2006
Last updated
07/01/2011
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