Healthcare Provider Details

I. General information

NPI: 1033650809
Provider Name (Legal Business Name): MICHAEL HARRIS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2017
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2596 PATTERSON RD
GRAND JUNCTION CO
81505-1443
US

IV. Provider business mailing address

PO BOX 339
GRAND JUNCTION CO
81502-0339
US

V. Phone/Fax

Practice location:
  • Phone: 970-242-6600
  • Fax: 970-241-8443
Mailing address:
  • Phone: 970-242-6600
  • Fax: 970-241-8443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDR.0062860
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: