institution
Michael T Harris Md, Pc
Primary Care Clinic/Center in Idaho Falls, Idaho
NPI 1285621532

Michael T Harris Md, Pc is a Primary Care Clinic/Center based in Idaho Falls, ID and is specialized in Primary Care. Michael T Harris Md, Pc practices in Idaho Falls, ID. The NPI Number for Michael T Harris Md, Pc is 1285621532 and holds a License No. M 6846 (Idaho).

The current practice location address for Michael T Harris Md, Pc is 3422 S 15Th E, Idaho Falls, ID and can be reached out via phone at 208-552-1222 and via fax at 208-552-3377.

Location: 3422 S 15Th E, Idaho Falls, ID, 83404-8262
institution
Provider Profile Details
NPI Number
1285621532
Provider Name
Michael T Harris Md, Pc
Credential
Provider Entity Type
Organization
Address
3422 S 15Th E, Idaho Falls, ID, 83404-8262
Phone Number
208-552-1222
Fax Number
208-552-3377
Provider Enumeration Date
10/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003729200 05 ID
000010000013 01 ID BLUE SHEILD OF IDAHO
72793 01 ID BLUE CROSS OF IDAHO
P00077360 01 ID RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
3422 S 15Th E
City
State
Zip
83404-8262
Phone Number
208-552-1222
Fax Number
208-552-3377
person
Provider Business Mailing Address Details
Address
3422 S 15Th E
City
State
Zip
83404-8262
Phone Number
208-552-1222
Fax Number
208-552-3377
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
M 6846 (Idaho)
Definition
Definition to come...
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