Organization Name: | PAUL E. HARRIS JR., D.O. INC |
NPI Number: | 1336353655 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL EDWARD HARRIS (OWNER) |
Mailing Address: | 15 Norton Rd Columbus |
State: | OH US |
Postal Code: | 43228 |
Phone Number: | 6148786455 |
Fax Number: | 6148786466 |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 34002997 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |