Individual
DR. TYLER JAMES HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1510 12TH AVE RD STE 100, NAMPA, ID 83686
(208) 498-1333
Mailing address
2100 POWELL ST STE 900, EMERYVILLE, CA 94608-1844
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301099332
MI
207P00000X
Emergency Medicine Physician
Primary
M-12361
ID
207P00000X
Emergency Medicine Physician
MD180078
OR
Other
Enumeration date
07/05/2011
Last updated
04/18/2019
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