| John E Harris Md Pa | |
|
1801 W 40th Ave Suite 5c Pine Bluff AR 71603-6940 | |
| (870) 534-0202 | |
| (870) 534-8836 |
| Full Name | John E Harris Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1801 W 40th Ave, Pine Bluff, Arkansas |
| Authorized Official Name and Position | John E Harris (PHYSICIAN) |
| Authorized Official Contact | 8705340202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John E Harris Md Pa 1801 W 40th Ave Suite 5c Pine Bluff AR 71603-6940 Ph: (870) 534-0202 | John E Harris Md Pa 1801 W 40th Ave Suite 5c Pine Bluff AR 71603-6940 Ph: (870) 534-0202 |
| NPI Number | 1033380308 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 03/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033380308 | NPI | - | NPPES |
| 143810002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E1963 (Arkansas) | Primary |
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