James W Harris, CSFA Valid NPI

Individual provider · Surgical Physician Assistant · O Fallon, MO

NPI

1134955040

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

Sex

Male

Sole proprietor

Yes

Enumerated

2024-09-09

Last updated

2024-09-09