Healthcare Provider Details

I. General information

NPI: 1699909408
Provider Name (Legal Business Name): DAVID HARRIS, M.D. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2009
Last Update Date: 05/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 POTOMAC CIR UNIT 275
AURORA CO
80011-6797
US

IV. Provider business mailing address

830 POTOMAC CIR UNIT 275
AURORA CO
80011-6797
US

V. Phone/Fax

Practice location:
  • Phone: 303-805-7686
  • Fax: 303-805-7732
Mailing address:
  • Phone: 303-805-7686
  • Fax: 303-805-7732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number17216
License Number StateCO

VIII. Authorized Official

Name: DAVID HARRIS
Title or Position: OWNER
Credential: M.D.
Phone: 303-344-1162