Individual
EMILY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 N MAIN ST, GIDEON, MO 63848-9253
(573) 448-3800
Mailing address
100 N MAIN ST, GIDEON, MO 63848-9253
(573) 448-3800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006856
IL
363A00000X
Physician Assistant
Primary
2023031651
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1140221
—
IL
Enumeration date
12/18/2018
Last updated
03/26/2026
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