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NPI Code Detail

MEDICARE: DR. STEVEN HARRIS MD

MEDICARE: DR. STEVEN HARRIS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208200000XPlastic Surgery Physician0101049147VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366421943
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN HARRIS MD
Provider Business Mailing Address
First Line : 213 S JEFFERSON ST STE 1006
Second Line :
City : ROANOKE
State : VA
Zip : 24011-1713
Country : US
Telephone Number : 540-224-5715
Fax Number :
Provider Business Practice Location Address
First Line : 1900 ELECTRIC RD
Second Line :
City : SALEM
State : VA
Zip : 24153-7474
Country : US
Telephone Number : 540-776-0561
Fax Number : 540-776-0562
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 10/21/2022

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