Individual
DR. ERIC BRENT HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1909 VISTA DR, LARAMIE, WY 82070-5530
(307) 745-8851
(307) 742-0961
Mailing address
34800 BOB WILSON DR, DEPARTMENT OF ORTHOPAEDICS, SAN DIEGO, CA 92134-1098
(619) 532-8427
(619) 532-8467
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01053569A
IN
207X00000X
Orthopaedic Surgery Physician
11071A
WY
207X00000X
Orthopaedic Surgery Physician
MD432120
PA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A114325
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106251400
—
WY
01
—
3317054000
IBC PA
PA
01
—
7558911
AETNA
—
Enumeration date
01/29/2007
Last updated
09/22/2020
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