Healthcare Provider Details

I. General information

NPI: 1154430171
Provider Name (Legal Business Name): FRANCIS J. HARRISON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 09/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9801 GILES RD SUITE 1
LA VISTA NE
68128-2924
US

IV. Provider business mailing address

9801 GILES RD SUITE 1
LA VISTA NE
68128-2924
US

V. Phone/Fax

Practice location:
  • Phone: 402-955-8400
  • Fax: 402-955-8401
Mailing address:
  • Phone: 402-955-8400
  • Fax: 402-955-8401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number19603
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: