Michael T Harris Md, PC

NPI #1285621532 in Idaho Falls, Idaho

Provider Information

NPI Number
1285621532
Entity Type
Organization
Organization Name
Michael T Harris Md, PC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Oct 3, 2005
Last Updated
Nov 22, 2008

Practice Location

Address
3422 S 15TH E
State
Idaho
ZIP Code
83404-8262
Phone
(208) 552-1222

Authorized Official

Name
DR. MICHAEL T HARRIS, MD
Title
OWNER/PRACTITIONER
Phone
(208) 552-1222

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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