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Donald D Harris, PAC
Medical Physician Assistant in Baker, West Virginia
NPI 1962486738

Donald D Harris is a Medical Physician Assistant based in Baker, WV and is specialized in Medical. Donald D Harris practices in Baker, WV and has the professional credentials of PAC. The NPI Number for Donald D Harris is 1962486738 and holds a License No. 01128 (West Virginia).

The current practice location address for Donald D Harris is 17978 Sr 55, Baker, WV and can be reached out via phone at 304-897-5915.

Location: 17978 Sr 55, Baker, WV, 26801-0097
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962486738
Provider Name
Donald D Harris
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
17978 Sr 55, Baker, WV, 26801-0097
Phone Number
304-897-5915
Fax Number
Provider Enumeration Date
12/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001777408 01 WV MS BCBS
3810003569 05 WV
institution
Provider Business Practice Location Address Details
Address
17978 Sr 55
City
Baker
State
West Virginia
Zip
26801
Phone Number
304-897-5915
Fax Number
person
Provider Business Mailing Address Details
Address
17978 Sr 55
City
Baker
State
West Virginia
Zip
26801
Phone Number
304-897-5915
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
01128 (West Virginia)
Definition
Definition to come...
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